Montgomery County Memorial Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MONTGOMERY COUNTY MEMORIAL HOSPITAL

Doing business as

Heartland Hospice

Practice address

2301 Eastern Avenue
Red Oak, IA 51566-1305

Phone

(712) 623-7194

NPI assigned

Aug 21, 2006

Last updated

Dec 18, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MONTGOMERY COUNTY MEMORIAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David E Abercrombie

Title

Administrator/Ceo

Phone

(712) 623-7000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heartland Hospice Doing business as

Part of

Montogomery Co Mem Hosp

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1255447546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515660498",
            "telephone_number": "712-623-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVENUE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661305",
            "telephone_number": "712-623-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "ABERCROMBIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "712-623-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672030",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615476",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J. Portz, O.D., P.C.
• Mills County (Rolling Prairie Case Mgmt)
• Molly Miner, PHARMD
• Montgomery County
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• Montgomery County Memorial Hospital
• Montgomery County Memorial Hospital (Women's Health Center)
• Montgomery County Memorial Hospital
• Montgomery County Memorial Hospital
• Montgomery County Memorial Hospital (MCMH Pharmacy)

• Community Based Hospice Care Agency in Red Oak, IA
• Providers in Red Oak, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.