MADISON MEDICAL CENTER; NPI #1801948880

Contact Information

MADISON MEDICAL CENTER

611 W MAIN ST
FREDERICKTOWN, MO 63645-1111

Phone: 573-783-1047
Fax: 573-783-1063
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MADISON MEDICAL CENTER

NPI # 1801948880

LBN Legal business name MADISON MEDICAL CENTER

Authorized official LINDA HATCH - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2007

Last updated 10/10/2016 - About 10 years ago

Identifiers

MO	License #	003980
MO	Medicaid	010155109
MO	Medicaid	601458003
	Other	2050238	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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