Organization
MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Active
Other names
MADISON MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE TWIDWELL (CFO)
(573) 783-3341
Entity
Organization
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Mailing address
611 W MAIN ST, PO BOX 431, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
209-45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155109
—
MO
Enumeration date
10/26/2006
Last updated
06/25/2008
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