VILLISCA MEDICAL CLINIC
NPI 1417667072
Clinic/Center - Rural Health in Villisca, IA

Active since December 05, 2022CLIA 16D1048810 · Waiver
205 N U AVE, VILLISCA, IA 50864(712) 826-4422 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Villisca Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLISCA MEDICAL CLINIC (NPI 1417667072) is a healthcare organization registered as a rural health in Villisca, Iowa and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Ronald G Kloewer, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1417667072
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMONTGOMERY COUNTY MEMORIAL HOSPITAL
Location Address205 N U AVEVillisca, IA 50864-7013
Mailing AddressPo Box 498Red Oak, IA 51566-0498 · (712) 623-7146 · Fax (712) 623-7224
Organization SubpartYes
Authorized OfficialRonald G KloewerAdministrator/ceo · (712) 623-7000
Enumeration DateDecember 5, 2022
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
NPI 1417667072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
205 N U AVE, Villisca, IA 50864

Other Names 1

Doing Business AsVillisca Medical Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1048810

Villisca Medical Clinic · Villisca, IA
Active · expires Dec 12, 2027
CLIA Number16D1048810
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorBrianna Schaffer
Laboratory Phone(712) 826-4422
Laboratory LocationVillisca Medical Clinic205 North U Avenue, Villisca, IA 50864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
205 N U AVE
VILLISCA, IA 50864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery County Memorial Hospital's NPI number?

The NPI number for Montgomery County Memorial Hospital is 1417667072. It was assigned to this organization in the NPPES registry on December 5, 2022. The provider is doing business as Villisca Medical Clinic.

Where is Montgomery County Memorial Hospital located?

Montgomery County Memorial Hospital is located at 205 N U Ave, Villisca, IA 50864. The listed phone number is (712) 826-4422.

What is Montgomery County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Montgomery County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1048810) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montgomery County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Montgomery County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montgomery County Memorial Hospital was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.