MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
NPI 1750457586
Home Health in Fredericktown, MO

Active since November 24, 2006
611 WEST MAIN STREET, FREDERICKTOWN, MO 63645(573) 783-3341(573) 783-1096 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Medical Center Stockhoff Memorial Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME (NPI 1750457586), doing business as Madison Memorial Hospital Stockhoff Memorial Nursing Home, is a healthcare organization registered as a home health in Fredericktown, Missouri and active in the NPI registry since November 2006. The organization lists Lisa Marie Twidwell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750457586
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Location Address611 WEST MAIN STREETFredericktown, MO 63645
Mailing Address611 West Main StreetFredericktown, MO 63645 · (573) 783-3341 · Fax (573) 783-1096
Fax(573) 783-1096
Organization SubpartNo
Authorized OfficialLisa Marie TwidwellCfo · (573) 783-3341
Enumeration DateNovember 24, 2006
Last NPPES UpdateMay 30, 2012
NPI 1750457586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MO · 25619
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

611 WEST MAIN STREET, Fredericktown, MO 63645

Other Names 1

Former Legal Business NameMadison Memorial Hospital Stockhoff Memorial Nursing Home

Other Identifiers 2

Medicaid580155109MO
Medicare OSCAR/certification267263MO

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Medicare Defined Swing Bed Unit
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Clinic/Center (Rural Health)
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Skilled Nursing Facility
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Preventive Medicine (Occupational Medicine)
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Nurse Practitioner (Women's Health)
611 WEST MAIN STREET, SUITE E
FREDERICKTOWN, MO 63645
Homemaker
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Technician (Personal Care Attendant)
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Ambulance (Land Transport)
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Medical Center Stockhoff Memorial Nursing Home's NPI number?

The NPI number for Madison Medical Center Stockhoff Memorial Nursing Home is 1750457586. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider was formerly known as Madison Memorial Hospital Stockhoff Memorial Nursing Home.

Where is Madison Medical Center Stockhoff Memorial Nursing Home located?

Madison Medical Center Stockhoff Memorial Nursing Home is located at 611 West Main Street, Fredericktown, MO 63645. The listed phone number is (573) 783-3341.

What is Madison Medical Center Stockhoff Memorial Nursing Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does Madison Medical Center Stockhoff Memorial Nursing Home accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Madison Medical Center Stockhoff Memorial Nursing Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Medical Center Stockhoff Memorial Nursing Home was last updated on May 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.