MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME


Address: 200 St. Mary, Pilot Knob, MO 63663-0523
Phone: 5735467000

MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME (NPI# 1649357229) 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) 1649357229
Entity Type Organization
Organization Name MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Other Organization Name ARCADIA VALLEY FAMILY CLINIC
Practice Address 200 St. Mary
Pilot Knob
MO 63663-0523
Mailing Address 200 St. Mary
P O Box 523
Pilot Knob
MO 63663-0523
Practice Telephone 5735467000
Practice Fax Number 5735466420
Mailing Telephone 5735467000
Mailing Fax Number 5735466420
Enumeration Date 2006-11-01
Last Update Date 2013-12-18
Authorized Official Name MRS. LISA MARIE TWIDWELL (CEO)
Authorized Official Telephone 5737833341
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 595679408 05

Other Provider/Organization Names

Other Name Type Code
Arcadia Valley Family Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

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
1750457586 Madison Medical Center Stockhoff Memorial Nursing Home Home Health 611 West Main Street, Fredericktown, MO 63645 2006-11-24
1316013139 Madison Medical Center Stockhoff Memorial Nursing Home Medicare Defined Swing Bed Unit 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 200 ST. MARY
City PILOT KNOB
State MO
Zip Code 63663-0523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407924822 Rosalie Grimes Benz Nurse Practitioner 200 St. Mary, Pilot Knob, MO 63663 2006-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891266573 Inspire Home Health LLC Home Health 305 West Maple, Pilot Knob, MO 63663 2018-12-06
1013321371 Michelle Whited Registered Nurse 200 Saint Mary St., Pilot Knob, MO 63663 2014-06-16
1497932107 Iron County Ambulance District Ambulance 115 South Mccune Street, Pilot Knob, MO 63663 2008-01-24
1467639278 Michelle E Allen Nurse Practitioner 301 North Main, Pilot Knob, MO 63663 2008-01-23
1073799367 Iron County Hospital District Clinic/Center 600 North Main, Pilot Knob, MO 63663 2008-01-16
1144406455 Boonyasai & Boonyasai, M.d.p. C. General Practice 200 St . Marys Street, Lower Level, Pilot Knob, MO 63663 2008-01-16
1962685438 Jennifer J Savage Nurse Practitioner 600 N Main Street, Pilot Knob, MO 63663 2007-12-07
1255485678 Karen Lin Duberstein Family Medicine 301 North Highway 21, Pilot Knob, MO 63663 2007-01-23
1174684203 True Care Home Health Equipment Sales and Service LLC Durable Medical Equipment & Medical Supplies 303 W. Maple, Pilot Knob, MO 63663 2006-12-13
1992819627 Harry Taylor Harness Family Medicine 315 West Mulberry Street, Pilot Knob, MO 63663 2006-08-19
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073799367 Iron County Hospital District Clinic/Center 600 North Main, Pilot Knob, MO 63663 2008-01-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871102137 Washington County Memorial Hospital Clinic/Center 14206 Hwy C, Belgrade, MO 63622 2020-07-23
1891325072 Scotland County Memorial Hospital Clinic/Center 55682 State Highway 6 Ste A, Edina, MO 63537-4268 2020-01-16
1639736457 Southeast Health Center of Stoddard County LLC Clinic/Center 800 Us Highway 61, New Madrid, MO 63869-1106 2019-05-28
1134633456 Pike County Memorial Hospital Clinic/Center 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 2017-11-22
1720505894 Perry County Health System Clinic/Center 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 2017-08-29
1427572007 Missouri Delta Medical Center Clinic/Center 209 W Yoakum Ave, Chaffee, MO 63740-1138 2017-07-26
1790213676 Jackson Primary Care LLC Clinic/Center 2685 E Main St Ste A, Jackson, MO 63755-2474 2017-05-23
1972050581 Sgoh Acquisition, Inc. Clinic/Center 912b State Highway 59, Goodman, MO 64843-8252 2016-09-01
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1669856829 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 2015-07-16
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Competitor

Search similar providers

City PILOT KNOB
Zip Code 63663

Improve Information

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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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