| Madison Medical Center Stockhoff Memorial Nursing Home | |
|
200 St. Mary Pilot Knob MO 63663-0523 | |
| (573) 546-7000 | |
| (573) 546-6420 |
| Full Name | Madison Medical Center Stockhoff Memorial Nursing Home |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 200 St. Mary, Pilot Knob, Missouri |
| Authorized Official Name and Position | Lisa Marie Twidwell (CEO) |
| Authorized Official Contact | 5737833341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Medical Center Stockhoff Memorial Nursing Home 200 St. Mary P O Box 523 Pilot Knob MO 63663-0523 Ph: (573) 546-7000 | Madison Medical Center Stockhoff Memorial Nursing Home 200 St. Mary Pilot Knob MO 63663-0523 Ph: (573) 546-7000 |
| NPI Number | 1649357229 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649357229 | NPI | - | NPPES |
| 595679408 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Iron County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Highway 21, Pilot Knob, MO 63663 Phone: 573-546-8051 | |
Boonyasai & Boonyasai, M.d.p. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St . Marys Street, Lower Level, Pilot Knob, MO 63663 Phone: 573-546-3929 Fax: 573-546-3962 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W. Mulberry, Pilot Knob, MO 63663 Phone: 573-546-1001 Fax: 573-546-1002 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W Mulberry St, Pilot Knob, MO 63663 Phone: 573-546-0602 Fax: 573-546-0624 |