Organization
MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Active
Other names
Madison Medical Center RHC
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
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590155107
—
MO
Enumeration date
11/01/2006
Last updated
12/05/2013
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