Madison Memorial Hospital Stockhoff Memorial Nursing Home

Specialty details in registry · Fredericktown, MO

Call (573) 783-3341 Directions

At a glance

611 West Main Street, Fredericktown, MO 63645

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

611 West Main Street
Fredericktown, MO 63645
Professional details: NPI, taxonomy & registry record
NPI1003983859
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Nov 29, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

333600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

611 West Main Street
Fredericktown, MO 63645
Phone
(573) 783-3341
Fax
(573) 783-1096
Mailing address
PO BOX 431
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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