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NPI Code Detail

MEDICARE: MADISON MEDICAL CENTER

MEDICARE: MADISON MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245305408
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON MEDICAL CENTER
Provider Business Mailing Address
First Line : 611 W MAIN ST
Second Line : PO BOX 431
City : FREDERICKTOWN
State : MO
Zip : 63645-1111
Country : US
Telephone Number : 573-783-3341
Fax Number : 573-783-1096
Provider Business Practice Location Address
First Line : 611 W MAIN ST
Second Line :
City : FREDERICKTOWN
State : MO
Zip : 63645-1111
Country : US
Telephone Number : 573-783-3341
Fax Number : 573-783-1096
Authorized Official
Title or Position : CFO
Name : LISA M TWIDWELL
Credential :
Telephone Number : 573-783-3341
Provider Enumeration Date : 11/22/2006
Last Update Date : 09/18/2008

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Directions to “MADISON MEDICAL CENTER ” Practice Location

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