MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME


Address: 611 West Main Street, Fredericktown, MO 63645
Phone: 5737833341

MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME (NPI# 1316013139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316013139
Entity Type Organization
Organization Name MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Other Organization Name MADISON MEMORIAL HOSPITAL
Practice Address 611 West Main Street
Fredericktown
MO 63645
Mailing Address 611 W Main St
Fredericktown
MO 63645-1111
Practice Telephone 5737833341
Practice Fax Number 5737831096
Mailing Telephone 5737833341
Mailing Fax Number 5737831096
Enumeration Date 2006-11-24
Last Update Date 2008-07-30
Authorized Official Name MRS. LISA MARIE TWIDWELL (CFO)
Authorized Official Telephone 5737833341
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 20945 MO Hospital Units

Other Provider/Organization Names

Other Name Type Code
Madison Memorial Hospital Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649357229 Madison Medical Center Stockhoff Memorial Nursing Home Clinic/Center 200 St. Mary, Pilot Knob, MO 63663-0523 2006-11-01
1467539031 Madison Medical Center Stockhoff Memorial Nursing Home Clinic/Center 611 West Main Street, Fredericktown, MO 63645 2006-11-01
1750457586 Madison Medical Center Stockhoff Memorial Nursing Home Home Health 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1215003041 Madison Medical Center Stockhoff Memorial Nursing Home Nursing Facility/Intermediate Care Facility 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1720163025 Madison Medical Center Stockhoff Memorial Nursing Home General Acute Care Hospital 611 W Main St, Fredericktown, MO 63645-1111 2006-10-26

Office Location

Street Address 611 WEST MAIN STREET
City FREDERICKTOWN
State MO
Zip Code 63645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467539031 Madison Medical Center Stockhoff Memorial Nursing Home Clinic/Center 611 West Main Street, Fredericktown, MO 63645 2006-11-01
1235392309 Humberto Jose Olivero Lara Family Medicine 611 West Main Street, Fredericktown, MO 63645 2008-07-08
1043490857 Julie Marie Buford Nurse Practitioner 611 West Main Street, Suite E, Fredericktown, MO 63645-1111 2007-11-08
1003983859 Madison Memorial Hospital Stockhoff Memorial Nursing Home Pharmacy 611 West Main Street, Fredericktown, MO 63645 2006-11-29
1750457586 Madison Medical Center Stockhoff Memorial Nursing Home Home Health 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1225104045 Madison Memorial Hospital Stockhoff Memorial Nursing Home Homemaker 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1851467674 Madison Memorial Hospital Stockhoff Memorial Nursing Home Technician 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1306912134 Madison Memorial Hospital Stockhoff Memorial Nursing Home Ambulance 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1215003041 Madison Medical Center Stockhoff Memorial Nursing Home Nursing Facility/Intermediate Care Facility 611 West Main Street, Fredericktown, MO 63645 2006-11-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093193880 Emily Engers Counselor 206 W Marvin Ave, Fredericktown, MO 63645 2015-05-12
1871823955 Covenant Care Services, LLC Custodial Care Facility 1610 W. Hwy 72, Fredericktown, MO 63645 2010-01-12
1518110279 East Missouri Action Agency, Inc. Clinic/Center 806 West College Rd, Fredericktown, MO 63645 2008-10-28
1679737324 Linda Carole Cravens Dentist 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 2008-07-11
1629286976 Community Health Care Associates, Inc Social Worker 735 West Main, Fredericktown, MO 63645 2007-05-18
1487749537 Covenant Care Services, LLC Registered Nurse 120 S. Mine Lamotte, Fredericktown, MO 63645 2006-10-04
1215577945 Modern Mental Health Community/Behavioral Health 151 South Main Street, Suite B, Fredericktown, MO 63645 2020-01-10
1619081593 Angela R Menz Nurse Practitioner 611 W Main St, Fredericktown, MO 63645 2006-08-18
1811439227 Bali Rae Hoover-richardson Counselor 1800 County Road 257, Fredericktown, MO 63645-0025 2016-11-16
1154673887 Wagner Residential Care Inc Assisted Living Facility 320 N Chamber Dr, Fredericktown, MO 63645-0320 2012-10-04
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013054212 Ste Genevieve County Memorial Hospital Medicare Defined Swing Bed Unit 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 2007-01-30
1104801547 Barton County Memorial Hospital Medicare Defined Swing Bed Unit 29 Nw 1st Ln, Lamar, MO 64759-8105 2005-12-08
1245220052 Ray County Memorial Hospital Medicare Defined Swing Bed Unit 904 Wollard Blvd, Richmond, MO 64085-2229 2005-10-24
1083601330 Western Missouri Medical Center Medicare Defined Swing Bed Unit 403 Burkarth Rd, Warrensburg, MO 64093 2005-10-03
1407469778 Noble Health Fulton Inc. Medicare Defined Swing Bed Unit 10 S Hospital Dr, Fulton, MO 65251-2510 2020-08-26
1558985911 Poplar Bluff Regional Medical Center LLC Medicare Defined Swing Bed Unit 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2020-06-02
1568936995 Mosaic Medical Center - Maryville Medicare Defined Swing Bed Unit 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1861861726 Southeast Health Center of Reynolds LLC Medicare Defined Swing Bed Unit 100 Highway 21 N, Ellington, MO 63638-9409 2015-09-22
1023487162 Southeast Health Center of Ripley County Medicare Defined Swing Bed Unit 109 Plum St, Doniphan, MO 63935-1277 2015-09-18
1093194888 Southeast Health Center of Ripley County Medicare Defined Swing Bed Unit 109 Plum St, Doniphan, MO 63935-1277 2015-05-26
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Competitor

Search similar providers

City FREDERICKTOWN
Zip Code 63645

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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