Madison Medical Center Stockhoff Memorial Nursing Home
General Acute Care Hospital, Critical Access in Fredericktown, MO. Organization (NPI-2).
NPI number1720163025
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1720163025
- Entity type
- Organization (NPI-2)
- Legal business name
- Madison Medical Center Stockhoff Memorial Nursing Home
- Organization subpart
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Jun 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC0060X | General Acute Care Hospital, Critical Access | 209-45 | MO | Yes |
Other names
- Madison Memorial Hospital (Former Legal Business Name)
Practice location
611 W Main StFredericktown, MO 63645-1111
Phone 573-783-3341 · Fax 573-783-1096
Mailing address
611 W Main StPo Box 431
Fredericktown, MO 63645-1111
Phone 573-783-3341 · Fax 573-783-1096
Authorized official
Lisa Marie Twidwell
Cfo
5737833341
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