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Contact Information

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
255 BODERMAN
SUITE 1E
BLOOMSDALE, MO63627
 Phone: 573-483-2626
 Fax: 573-883-1185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

NPI Number 1699028415
LBN Legal business name STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Authorized official AMANDA WOLK - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2012
Last updated 01/13/2023 - About 3 years ago
Identifiers
MO License # 2012036011
MO Medicaid 600004992
Other 2137520 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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