NPI | 1215003041 |
---|---|
Doing Business As | MADISON MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | LISA MARIE TWIDWELL CEO 573-783-3341 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 20945) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 20945) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2014-01-02 |