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MADISON MEDICAL CENTER NPI 1801948880


NPI Information

NPI: 1801948880
Provider Name: MADISON MEDICAL CENTER

Doing Business As: MADISON MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
611 W MAIN ST
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 783-1047
Get Directions

MADISON MEDICAL CENTER is a long term care pharmacy pharmacy in Fredericktown, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MADISON MEDICAL CENTER NPI is 1801948880. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison Medical Center Pharmacy.

The provider's business location address is:

611 W MAIN ST
FREDERICKTOWN, MO
ZIP 63645-111
Phone: (573) 783-1047
Fax: (573) 783-1063

The provider's authorized official is Linda Hatch .
The authorized official title is Pharmacy Director and has the following contact phone number (573) 783-1047.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 10/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336I0012XPharmacyInstitutional PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy003980MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010155109MEDICAIDMISSOURI
22050238OTHERPK
3601458003MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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