Montgomery County Memorial Hospital

A Medicare group practice based in Red Oak, IA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9032015805), with 92 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032015805The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IA, NE
Enrollments
9
Group size
43 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
36In 11 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031211000423 IA Part B Supplier - Clinic/Group Practice 1265405310
O20070129000283 IA Part A Provider - Critical Access Hospital 1831162023
O20061104000347 IA Part A Provider - Critical Access Hospital 1376539338
O20240506004753 IA DME Supplier - Pharmacy 1699887547
O20240828003092 IA Part B Supplier - Mass Immunization (Roster Biller Only) 1699887547
O20210120001334 IA Part A Provider - Rural Health Clinic 1639768401
O20210108002274 NE Part B Supplier - Clinic/Group Practice 1265405310
O20221217000149 IA Part A Provider - Rural Health Clinic 1891405452
O20221214003083 IA Part A Provider - Rural Health Clinic 1417667072

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 92

Clinicians who reassign their Medicare benefits to this group (92) or whom Care Compare lists as members (43).

Sources for this page