Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Other names
Ste Genevieve Surgical Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Authorized official
JON BRANSTETTER (CFO)
(573) 883-7714
Entity
Organization
Contact information
Practice address
800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
(573) 883-5717
(573) 883-4472
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-5717
(573) 883-4472
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8331
RAILROAD MEDICARE
MO
Enumeration date
01/09/2007
Last updated
09/09/2020
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