Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Medical Center Stockhoff Memorial Nursing Home

Organization Nursing Facility/Intermediate Care Facility · NPI 1215003041

Madison Medical Center Stockhoff Memorial Nursing Home is a Nursing Facility/Intermediate Care Facility in Fredericktown, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2

Practice location Address checks out

611 W Main St
Fredericktown, MO 63645
Phone: (573) 783-3341
Fax: (573) 783-1096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 20945 (MO)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 20945 (MO)

Record details

NPI number1215003041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Twidwell — Ceo · (573) 783-3341
Other names Madison Medical Center
NPI enumeratedNovember 24, 2006
Last updated in NPPESJanuary 2, 2014
Mailing address611 West Main Street, Fredericktown, MO 63645