# STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomsdale Rehab, Bloomsdale Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902153539
- **Authorized official:** SCOTT GRIFFIN (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (573) 883-2751

## Contact information

- **Practice address:** 255 BODERMAN, SUITE 1C, BLOOMSDALE, MO 63627
- **Practice address phone:** (573) 883-4473
- **Practice address fax:** (573) 883-4472
- **Mailing address:** 800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
- **Mailing address phone:** (573) 883-2751
- **Mailing address fax:** (573) 883-4472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 09/11/2026
