<Unavail>

LBN: Madison Medical Center
<Unavail> is an health care organization with primary practice located at 611 W Main St , Fredericktown MO 63645-1111. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Madison Medical Center can be contacted via phone (573) 783-1047, or through Hatch, Linda via phone (573) 783-1047.

Contact Information

Primary practice address
611 W Main St Fredericktown MO 63645-1111
Phone: (573) 783-1047
Fax: (573) 783-1063
Website:
Map and Directions
Authorized official contact:
Name: Hatch, Linda RPH
Phone: (573) 783-1047

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 003980 Missouri

Profile Details

NPI number 1801948880
LBN Legal business name Madison Medical Center
DBA Doing business as <Unavail>
Authorized official Hatch, Linda RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Oct 10th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801948880 NPPES
Missouri MEDICAID 601458003
Missouri MEDICAID 010155109
Missouri Other 2050238

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