Montgomery County Memorial Hospital

Organization Active NPI Community/Retail Pharmacy · Red Oak, IA

NPI 1104602549 · NPPES record last updated Sep 6, 2023

Key facts

NPI
1104602549
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Practice address
600 Senate Ave
Red Oak, IA 51566-1283
Phone
(712) 623-1900
NPI assigned
Sep 1, 2023
Organization subpart
Yes
Parent organization (as reported)
MONTGOMERY COUNTY MEMORIAL HOSPITAL

Authorized official

Name
Bryant J Blay
Title
Cfo
Phone
(712) 623-7000

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Montgomery County Memorial Hospital (11 organizations share this tax ID)
Part of
Montgomery County Memorial Hospital

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2204183e-6c83-4c63-94c0-94d8c17a6ef8/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

600 Senate Ave
Red Oak, IA 51566-1283

Mailing address

PO Box 498
Red Oak, IA 51566-0498
Phone (712) 623-7000

Other names

  • MCMH Pharmacy Doing business as

Other providers in Red Oak, IA

All providers in Red Oak, IA · Community/Retail Pharmacy in Iowa

Sources for this page

Verify at the official NPI Registry.