| Organization Name: | MONTGOMERY COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1558496620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONNEL BADERTSCHER (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 2301 Eastern Ave Red Oak |
| State: | IA US |
| Postal Code: | 515660498 |
| Phone Number: | 7126237156 |
| Fax Number: | 7126237224 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 690075H |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |