Madison Medical Center Rhc

LBN: Madison Medical Center Stockhoff Memorial Nursing Home
Madison Medical Center Rhc is an health care organization with primary practice located at 611 West Main Street , Fredericktown MO 63645. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as 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:
Map and Directions
Authorized official contact:
Name: Twidwell, Lisa Marie
Phone: (573) 783-3341

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1467539031
LBN Legal business name Madison Medical Center Stockhoff Memorial Nursing Home
DBA Doing business as Madison Medical Center Rhc
Authorized official Twidwell, Lisa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 5th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467539031 NPPES
Missouri MEDICAID 590155107

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