Organization
STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Other names
Bloomsdale Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Authorized official
AMANDA WOLK (DIRECTOR BUSINESS OFFICE)
(573) 883-7703
Entity
Organization
Contact information
Practice address
255 BODERMAN STE 2C, BLOOMSDALE, MO 63627-9099
(573) 883-2751
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/08/2023
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