Organization
MADISON MEMORIAL HOSPITAL STOCKHOFF MEMORIAL NURSING HOME
Active
Other names
Madison Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE TWIDWELL (CFO)
(573) 783-3341
Entity
Organization
Contact information
Practice address
611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
(573) 783-3341
(573) 783-1096
Mailing address
PO BOX 431, 611 WEST MAIN STREET, FREDERICKTOWN, MO 63645
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
25619
MO
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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