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

Ste Genevieve County Memorial Hospital

Organization Surgery Physician · NPI 1477803583

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

In the registry since
2012

Practice location Address checks out

255 Boderman Ste 1B
Bloomsdale, MO 63627
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

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1477803583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wolk — Business Office Director · (573) 883-7703
Other names Metis Breast Center At Bloomsdale; Metis Breast Center 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

Other providers in Bloomsdale