Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Other names
Womens Wellness Services at Bloomsdale, ME'TIS BREAST CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JON BRANSTETTER (CFO)
(573) 883-7714
Entity
Organization
Contact information
Practice address
255 BODERMAN DR, BLOOMSDALE, MO 63627-9099
(573) 483-2727
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-2751
(573) 883-7796
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
MO
Other
Enumeration date
08/15/2012
Last updated
09/09/2020
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