# MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Memorial Hospital Stockhoff Memorial Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750457586
- **Authorized official:** MRS. LISA MARIE TWIDWELL (CFO)
- **Authorized official phone:** (573) 783-3341

## Contact information

- **Practice address:** 611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
- **Practice address phone:** (573) 783-3341
- **Practice address fax:** (573) 783-1096
- **Mailing address:** 611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
- **Mailing address phone:** (573) 783-3341
- **Mailing address fax:** (573) 783-1096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 25619 | MO | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 05/30/2012