Organization
MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Active
Other names
Madison Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE TWIDWELL (CEO)
(573) 783-3341
Entity
Organization
Contact information
Practice address
611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
(573) 783-3341
(573) 783-1096
Mailing address
611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
20945
MO
314000000X
Skilled Nursing Facility
Primary
20945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101458008
—
MO
Enumeration date
11/24/2006
Last updated
01/02/2014
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