Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization
Contact information
Practice address
800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
(573) 883-2751
(573) 883-7796
Mailing address
800 STE GENEVIEVE DR, P.O. BOX 468, STE GENEVIEVE, MO 63670-1434
(573) 883-2751
(573) 883-7796
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
245-36
MO
282NC0060X
Critical Access Hospital
Primary
245-36
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122837
BLUE CROSS ANES
MO
01
—
179240
BLUE SHEILD SOCIAL SERVIC
MO
05
—
540491800
—
MO
Enumeration date
02/13/2006
Last updated
01/13/2023
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