Madison Medical Center Stockhoff Memorial Nursing Home

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME

Practice address

200 St. Mary
Pilot Knob, MO 63663-0523

Phone

(573) 546-7000

Fax

(573) 546-6420

NPI assigned

Nov 1, 2006

Last updated

Dec 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Marie Twidwell

Title

Ceo

Phone

(573) 783-3341

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arcadia Valley Family Clinic Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Madison Medical Center Stockhoff Memorial Nursing Home

  • Medicare Defined Swing Bed Hospital Unit
  • Fredericktown, MO
  • NPI 1316013139

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosalie Grimes Benz, APRN-BC, FNP

  • Family Nurse Practitioner
  • Pilot Knob, MO
  • NPI 1407924822
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1649357229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ST. MARY",
            "address_2": "P O BOX 523",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630523",
            "telephone_number": "573-546-7000",
            "fax_number": "573-546-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ST. MARY",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630523",
            "telephone_number": "573-546-7000",
            "fax_number": "573-546-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "TWIDWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-783-3341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595679408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Valley Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iron County Hospital District (Iron County Medical Center)
• Chelsea L Isgrig, RDH
• James Mathis, M.D.
• Robert Wayne Lefebvre, L.C.S.W.
• Emily Sue Leslie, RDH
• Meadowbrook Residential Care
• Judith Medley, MSN, RN, FNP, CPNP
• Johnny Franklin Miller, CRADC
• Jessica Dawn Nichols, FNP
• Ozark Valleys Community Services, Inc. (OVCS, Inc.)

• Rural Health Clinic/Center in Pilot Knob, MO
• Providers in Pilot Knob, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.