STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL (NPI# 1194075200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194075200 |
| Entity Type | Organization |
| Organization Name | STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | SPECIALTY CLINIC AT BLOOMSDALE |
| Practice Address |
255 Boderman Suite 2a Bloomsdale MO 63670 |
| Mailing Address |
Po Box 366 Ste Genevieve MO 63670-0366 |
| Practice Telephone | 5738834473 |
| Practice Fax Number | 5738834472 |
| Mailing Telephone | 5738834473 |
| Mailing Fax Number | 5738834472 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JON BRANSTETTER (CFO) |
| Authorized Official Telephone | 5738837714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specialty Clinic at Bloomsdale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497824734 | Ste. Genevieve County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 21997 White Sands Rd, Ste Genevieve, MO 63670-8501 | 2006-11-08 |
| Street Address |
255 BODERMAN SUITE 2A |
| City | BLOOMSDALE |
| State | MO |
| Zip Code | 63670 |
| 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 |
| 1477803583 | Ste Genevieve County Memorial Hospital | Surgery | 255 Boderman, Suite 1b, Bloomsdale, MO 63627 | 2012-09-17 |
| 1902153539 | Ste Genevieve County Memorial Hospital | Clinic/Center | 255 Boderman, Suite 1c, Bloomsdale, MO 63627 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175034 | Kirsti Emalyn Pohlman | Occupational Therapist | 21964 Highway 61, Ste. Genevieve, MO 63670 | 2020-02-10 |
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
| 1629554084 | In-line Chiropractic, LLC | Chiropractor | 545 Rozier St, Ste Genevieve, MO 63670 | 2018-07-18 |
| 1447586649 | Riverview At The Park, Inc | Skilled Nursing Facility | 1100 Progress Parkway, Ste. Genevieve, MO 63670 | 2009-10-22 |
| 1790923464 | Ryan Joseph Tisher | Chiropractor | 535 Rozier St., Ste. Genevieve, MO 63670 | 2009-02-03 |
| 1043467756 | Travis Ray Huffman | Physical Therapy Assistant | 21964 Us Highway 61, Ste. Genevieve, MO 63670 | 2008-08-25 |
| 1447464557 | Shannon Leigh Blum | Specialist/Technologist | 21964 Hightway 32, Ste. Genevieve, MO 63670 | 2007-05-09 |
| 1538289236 | Ryan Buchheit | Physical Therapist | 21964 Highway 32, Ste. Genevieve, MO 63670 | 2007-03-29 |
| 1477671279 | Seilo Inc. Dba Chateau Care | Assisted Living Facility | 820 Park Dr, Ste Genevieve, MO 63670 | 2007-03-27 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| Find all providers in zip 63670 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSDALE |
| Zip Code | 63670 |
Please comment or provide details below to improve the information on STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL.
| 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.