1. Home
  2. Directory
  3. Iowa
  4. Villisca
  5. Nurse Practitioner
  6. NPI Profile

VILLISCA MEDICAL CLINIC
NPI 1790758092
Nurse Practitioner - Family in Villisca, IA

Active since February 08, 2006
301 E 4TH ST, VILLISCA, IA 50864(712) 826-4422(712) 826-2052 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Villisca Medical Clinic NPPES

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

VILLISCA MEDICAL CLINIC (NPI 1790758092) is a healthcare organization registered as a family in Villisca, Iowa and active in the NPI registry since February 2006. The organization lists Ronnel K Badertscher, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790758092
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMONTGOMERY COUNTY MEMORIAL HOSPITAL
Location Address301 E 4TH STVillisca, IA 50864-1146
Mailing Address301 E 4th StVillisca, IA 50864-1146 · (712) 826-4422 · Fax (712) 826-2052
Phone(712) 826-4422
Fax(712) 826-2052
Organization SubpartNo
Authorized OfficialRonnel K BadertscherBusiness Office Manager · (712) 623-7156
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790758092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · 690075H
301 E 4TH ST, Villisca, IA 50864
Open in Google Maps ↗

Other Names 1

Doing Business AsVillisca Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. DENISE W GOSSETT FNP
Clinical Nurse Specialist (Family Health)
301 E 4TH ST
VILLISCA, IA 50864
Montgomery County (712) 826-4422
RICHARD MULLEN IADC
Counselor (Addiction (Substance Use Disorder))
301 E 4TH ST
VILLISCA, IA 50864
Montgomery County (712) 438-1044

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 1790758092. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Villisca Medical Clinic.

Where is Montgomery County Memorial Hospital located?

Montgomery County Memorial Hospital is located at 301 E 4th St, 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 Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Montgomery County Memorial Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.