340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH261302-00 MADISON MEDICAL CENTER (Active)
Print
Main Details
Name
MADISON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261302-00
Medicare Provider Number
261302
Additional Details
Current Program Status
Active
Registration Date
11/7/2011
Participating Start Date
12/9/2011
Participating Approval Date
12/9/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Madison Medical Center
Lisa Twidwell, CEO
(573) 783-1020 Ext: 3311
Primary Contact
Madison Medical Center
Allan R Sucharski, CFO
(573) 783-1070 Ext: 3346
Addresses
Street Address
611 WEST MAIN STREET
FREDERICKTOWN, MO 63645
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session