Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Other names
Apple Kids Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization
Contact information
Practice address
590 PINE DR, STE GENEVIEVE, MO 63670-1456
(573) 883-4455
(573) 883-4472
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-4455
(573) 883-4472
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500142609
—
MO
01
—
CC8331
RAILROAD MEDICARE
MO
Enumeration date
01/10/2007
Last updated
01/13/2023
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