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Contact Information

MADISON MEMORIAL HOSPITAL STOCKHOFF MEMORIAL NURSING HOME
611 WEST MAIN STREET
FREDERICKTOWN, MO63645
 Phone: 573-783-3341
 Fax: 573-783-1096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MADISON MEMORIAL HOSPITAL STOCKHOFF MEMORIAL NURSING HOME

NPI Number 1003983859
LBN Legal business name MADISON MEMORIAL HOSPITAL STOCKHOFF MEMORIAL NURSING HOME
Authorized official LISA TWIDWELL - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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