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MADISON MEDICAL CENTER NPI 1669514436


NPI Information

NPI: 1669514436
Provider Name: MADISON MEDICAL CENTER
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 26D0441828

Address:
611 W MAIN ST
FREDERICKTOWN, MO
ZIP 63645
Phone: (573) 783-3341
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MADISON MEDICAL CENTER is an emergency medicine in Fredericktown, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MADISON MEDICAL CENTER NPI is 1669514436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

611 W MAIN ST
FREDERICKTOWN, MO
ZIP 63645-111
Phone: (573) 783-3341
Fax: (573) 783-1096

The provider's authorized official is Rodney D Gross .
The authorized official title is Administrator and has the following contact phone number (573) 783-3341.

The CLIA number assigned to this NPI record is 26D0441828 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

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: 5/5/2024

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