Madison Medical Center
LBN: Madison Medical Center Stockhoff Memorial Nursing Home
Madison Medical Center is an health care organization with primary practice located at 611 West Main Street , Fredericktown MO 63645. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Madison Medical Center Stockhoff Memorial Nursing Home can be contacted via phone (573) 783-3341, or through Twidwell, Lisa Marie via phone (573) 783-3341.
Contact Information
Primary practice address
611 West Main Street
Fredericktown MO 63645
Phone: (573) 783-3341
Fax: (573) 783-1096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 20945 | Missouri |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 20945 | Missouri |
Profile Details
| NPI number | 1215003041 |
|---|---|
| LBN Legal business name | Madison Medical Center Stockhoff Memorial Nursing Home |
| DBA Doing business as | Madison Medical Center |
| Authorized official | Twidwell, Lisa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jan 2nd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215003041 | NPPES |
| Missouri | MEDICAID | 101458008 |
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