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Organization

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Active
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Other names
Bloomsdale Family Health Center, Bloomsdale Family Health Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization

Contact information

Practice address
255 BODERMAN, BLOOMSDALE, MO 63627-9099
(573) 483-9492
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-4477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC8331
RAILROAD MEDICARE
MO
Enumeration date
07/11/2006
Last updated
01/13/2023
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