NPI 1316013139
Madison Medical Center Stockhoff Memorial Nursing Home
Practice location
- Address
- 611 West Main Street, Fredericktown, MO 63645
- Phone
- (573) 783-3341
- Fax
- (573) 783-1096
- Mailing address
- 611 W Main St, Fredericktown, MO 63645-1111
Authorised official
- Name
- Lisa Marie Twidwell
- Title
- Cfo
- Phone
- (573) 783-3341
Registered specialties
Medicare Defined Swing Bed Hospital Unit
Primary
Registry record
- NPI
- 1316013139
- Entity type
- Organization
- NPI issued
- 24 Nov 2006
- Record last updated
- 30 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.