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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 595679408 | 05 |
Other Name | Type Code |
---|---|
Arcadia Valley Family Clinic | Other Name - Individual/Organization |
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 |
Street Address |
200 ST. MARY |
City | PILOT KNOB |
State | MO |
Zip Code | 63663-0523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407924822 | Rosalie Grimes Benz | Nurse Practitioner | 200 St. Mary, Pilot Knob, MO 63663 | 2006-12-01 |
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 |
Find all providers in zip 63663 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073799367 | Iron County Hospital District | Clinic/Center | 600 North Main, Pilot Knob, MO 63663 | 2008-01-16 |
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---|---|---|---|---|
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 |
Find all providers with the same taxonomy |
City | PILOT KNOB |
Zip Code | 63663 |
Please comment or provide details below to improve the information on MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME.
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.