Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ste Genevieve County Memorial Hospital

Organization Foot Surgery Podiatrist · NPI 1104692946

Ste Genevieve County Memorial Hospital is a Foot Surgery Podiatrist in Bloomsdale, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

255 Boderman Ste 2C
Bloomsdale, MO 63627-9099
Phone: (573) 883-2751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X

Record details

NPI number1104692946
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSte Genevieve County Memorial Hospital
Authorized official Amanda Wolk — Director Business Office · (573) 883-7703
Other names Bloomsdale Specialty Clinic
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing addressPo Box 366, Ste Genevieve, MO 63670-0366