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

Ste Genevieve County Memorial Hospital

Organization General Practice Physician · NPI 1194075200

Ste Genevieve County Memorial Hospital is a General Practice Physician in Bloomsdale, Missouri. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

255 Boderman Ste 2A
Bloomsdale, MO 63670
Phone: (573) 883-4473
Fax: (573) 883-4472
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1194075200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wolk — Business Office Director · (573) 883-7703
Other names Specialty Clinic At Bloomsdale; Specialty Clinic At Bloomsdale
NPI enumeratedSeptember 17, 2012
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing addressPo Box 366, Ste Genevieve, MO 63670-0366