STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (NPI# 1871841395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871841395 |
| Entity Type | Organization |
| Organization Name | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | ME'TIS BREAST CARE |
| Practice Address |
255 Boderman Dr Bloomsdale MO 63627-9099 |
| Mailing Address |
Po Box 366 Ste Genevieve MO 63670-0366 |
| Practice Telephone | 5734832727 |
| Mailing Telephone | 5738832751 |
| Mailing Fax Number | 5738837796 |
| Enumeration Date | 2012-08-15 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ME'TIS BREAST CARE | Other Name - Individual/Organization |
| Womens Wellness Services at Bloomsdale | 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 |
| 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 |
| 1902153539 | Ste Genevieve County Memorial Hospital | Clinic/Center | 255 Boderman, Suite 1c, Bloomsdale, MO 63627 | 2012-08-14 |
| Street Address |
255 BODERMAN DR |
| City | BLOOMSDALE |
| State | MO |
| Zip Code | 63627-9099 |
| 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 |
| 1609243013 | Cristella Patricia Torres | Family Medicine | 255 Boderman, Bloomsdale, MO 63627 | 2015-09-01 |
| 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 |
| 1841272861 | Mary Elizabeth Crecelius | Nurse Practitioner | 255 Boderman, Bloomsdale, MO 63627 | 2005-11-16 |
| Find all providers in zip 63627 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1386126308 | Kirksville Specialty Clinic LLC | Clinic/Center | 1108 E Patterson St Ste 10, Kirksville, MO 63501-4043 | 2018-09-06 |
| 1639616113 | Stratus Medical Group | Clinic/Center | 2010 N Main St, Sikeston, MO 63801-8478 | 2017-01-23 |
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1962818435 | Retired | Clinic/Center | 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 | 2014-07-06 |
| 1043625460 | Kobler Chiropractic and Acupuncture LLC | Clinic/Center | 500 Nw Englewood Rd, Kansas City, MO 64118-3960 | 2014-06-24 |
| 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.