Organization · Type 2 NPI

Montgomery County Memorial Hospital

Rural Health Clinic/Center · Malvern, IA

NPI number 1639768401 Active

Practice location

908 Main St
Malvern, IA 51551-8147

Call (712) 624-6010 Map

Mailing address

PO Box 498
Red Oak, IA 51566-0498

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Megan Jo Platt, ARNPFamily Nurse Practitioner Malvern, IA NPI 1336888791

NPI record

NPI: 1639768401
Entity type: Organization (Type 2)
Issued: Jan 15, 2021
Last updated: Dec 6, 2022
Status: Active
Subpart: Yes of Montgomery County Memorial Hospital

Other names

<unavail>
Malvern Medical Clinic · doing business as
Malvern Medical Clinic · doing business as

Authorized official

Ronald G Kloewer
Administrator/ceo
(712) 623-7000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639768401

Montgomery County Memorial Hospital's National Provider Identifier is 1639768401, issued on Jan 15, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Malvern, IA. The record was last updated on Dec 6, 2022.