STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (NPI# 1699028415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699028415 |
| Entity Type | Organization |
| Organization Name | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BLOOMSDALE PHARMACY |
| Practice Address |
255 Boderman Suite 1e Bloomsdale MO 63627 |
| Mailing Address |
255 Boderman Suite 1e Bloomsdale MO 63627-9099 |
| Practice Telephone | 5734832626 |
| Practice Fax Number | 5738831185 |
| Mailing Telephone | 5734832626 |
| Mailing Fax Number | 5738831185 |
| Enumeration Date | 2012-10-17 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2012036011 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600004992 | 05 | |
| PK | 2137520 | 01 |
| Other Name | Type Code |
|---|---|
| Bloomsdale Pharmacy | 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 |
| 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 |
| Street Address |
255 BODERMAN SUITE 1E |
| City | BLOOMSDALE |
| State | MO |
| Zip Code | 63627 |
| 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 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSDALE |
| Zip Code | 63627 |
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.