# GMA-MADISON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730120486
- **Authorized official:** JANE DROPESKEY (CORPORATE MANAGER)
- **Authorized official phone:** (610) 925-4231

## Contact information

- **Practice address:** 161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
- **Practice address phone:** (304) 285-0692
- **Practice address fax:** (304) 285-0693
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4436
- **Mailing address fax:** (610) 925-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131 | WV | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000324442 | MOUNTAIN STATE | — |
| 05 | — | 0003608000 | — | WV |
| 01 | — | 02EF | CAREFIRST - PROV/INQ\# | — |
| 01 | — | 2507253 | AETNA-HMO | — |
| 01 | — | 282334 | UNITED - MAMSI | — |
| 01 | — | NZ5 | CAREFIRST BLUECHOICE | — |