Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Other names
Family Health Care Pointe Basse, FAMILY HEATH CARE POINTE BASSE, Pointe Basse Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization
Contact information
Practice address
753 POINTE BASSE DR, STE GENEVIEVE, MO 63670-1820
(573) 883-2782
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-2782
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8331
RAILROAD MEDICARE
MO
Enumeration date
07/21/2006
Last updated
01/13/2023
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