STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (NPI# 1184658387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184658387 |
| Entity Type | Organization |
| Organization Name | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BLOOMSDALE FAMILY HEALTH CENTER |
| Practice Address |
255 Boderman Bloomsdale MO 63627-9099 |
| Mailing Address |
Po Box 366 Ste Genevieve MO 63670-0366 |
| Practice Telephone | 5734839492 |
| Mailing Telephone | 5738834477 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JON BRANSTETTER (CFO) |
| Authorized Official Telephone | 5738837714 |
| Is Organization Subpart | Y |
| Parent Organization Name | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | CC8331 | 01 |
| Other Name | Type Code |
|---|---|
| Bloomsdale Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
| 1871841395 | Ste Genevieve County Memorial Hospital | Clinic/Center | 255 Boderman Dr, Bloomsdale, MO 63627-9099 | 2012-08-15 |
| 1629373097 | Ste Genevieve County Memorial Hospital | Surgery | 1455 Highway 61 Ste B, Festus, MO 63028-4109 | 2011-01-17 |
| 1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
| 1770504557 | Ste Genevieve County Memorial Hospital | Clinic/Center | 575 Pine Drive, Sainte Genevieve, MO 63670 | 2006-07-21 |
| 1154871143 | Ste Genevieve County Memorial Hospital | Clinic/Center | 120 Plaza Dr, Ste Genevieve, MO 63670-1828 | 2016-10-13 |
| 1811318322 | Ste Genevieve County Memorial Hospital | Hospitalist | 800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2013-12-31 |
| 1508293226 | Ste Genevieve County Memorial Hospital | Clinic/Center | 990 Park Dr, Ste Genevieve, MO 63670 | 2013-09-27 |
| 1699028415 | Ste Genevieve County Memorial Hospital | Pharmacy | 255 Boderman, Suite 1e, Bloomsdale, MO 63627 | 2012-10-17 |
| 1477803583 | Ste Genevieve County Memorial Hospital | Surgery | 255 Boderman, Suite 1b, Bloomsdale, MO 63627 | 2012-09-17 |
| Street Address |
255 BODERMAN |
| City | BLOOMSDALE |
| State | MO |
| Zip Code | 63627-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974019 | Theresa A Cavins | Surgery | 255 Boderman, Bloomsdale, MO 63627-9099 | 2005-10-02 |
| 1669989786 | Jill Mccalister | Pharmacist | 255 Boderman, Bloomsdale, MO 63627-9099 | 2018-01-10 |
| 1144730615 | Jacqueline M Wolk | Nurse Practitioner | 255 Boderman, Bloomsdale, MO 63627-9099 | 2017-10-10 |
| 1437668969 | Lisa Engle | Nurse Practitioner | 255 Boderman, Bloomsdale, MO 63627-9099 | 2017-09-27 |
| 1538616362 | Melissa Ann Naeger | Nurse Practitioner | 255 Boderman, Bloomsdale, MO 63627-9099 | 2016-09-09 |
| 1609243013 | Cristella Patricia Torres | Family Medicine | 255 Boderman, Bloomsdale, MO 63627 | 2015-09-01 |
| 1063813046 | Regine Politte | Nurse Practitioner | 255 Boderman, Bloomsdale, MO 63627-9099 | 2014-09-10 |
| 1699028415 | Ste Genevieve County Memorial Hospital | Pharmacy | 255 Boderman, Suite 1e, Bloomsdale, MO 63627 | 2012-10-17 |
| 1194075200 | Ste. Genevieve County Memorial Hospital | General Practice | 255 Boderman, Suite 2a, Bloomsdale, MO 63670 | 2012-09-17 |
| 1477803583 | Ste Genevieve County Memorial Hospital | Surgery | 255 Boderman, Suite 1b, Bloomsdale, MO 63627 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745689 | Jessica Drury | Pharmacist | 255 Boderman Lane, Suite 1e, Bloomsdale, MO 63627 | 2012-10-17 |
| 1710239496 | Kimberly L Browne | Registered Nurse | 255 Boderman Road, Bloomsdale, MO 63627 | 2012-10-05 |
| 1558544239 | Heather Ladonn Huck | Occupational Therapist | 63 Meyer Lane, Bloomsdale, MO 63627 | 2007-12-17 |
| 1336328087 | Drury Chiropractic and Family Wellness LLC | Chiropractor | 92 Mill Hill Rd, Bloomsdale, MO 63627 | 2007-10-30 |
| 1316144652 | Donna Kay Nicholson | Counselor | 8984 State Rt. Dd, Bloomsdale, MO 63627 | 2007-06-29 |
| 1225181159 | Jodi M. Naeger | Speech-Language Pathologist | 6279 Highway 61, Bloomsdale, MO 63627-8904 | 2007-01-22 |
| 1932714748 | Adam Paul Schwent | Physical Therapist | 9748 E Cottonwood Ln, Bloomsdale, MO 63627-8955 | 2020-09-09 |
| 1124448386 | Tina Howe | Counselor | 8699 Jackson School Rd, Bloomsdale, MO 63627-9038 | 2014-04-25 |
| 1932663648 | Maria Rose Hermann | Student in an Organized Health Care Education/Training Program | 11671 State Route Y, Bloomsdale, MO 63627-9068 | 2019-01-27 |
| 1871841395 | Ste Genevieve County Memorial Hospital | Clinic/Center | 255 Boderman Dr, Bloomsdale, MO 63627-9099 | 2012-08-15 |
| Find all providers in zip 63627 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSDALE |
| Zip Code | 63627 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.