Organization · Type 2 NPI

Ste. Genevieve County Memorial Hospital

General Practice Physician · Bloomsdale, MO

NPI number 1194075200 Active

Practice location

255 Boderman, Suite 2A
Bloomsdale, MO 63670

Call (573) 883-4473 Map

Fax (573) 883-4472

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1194075200
Entity type: Organization (Type 2)
Issued: Sep 17, 2012
Last updated: Sep 18, 2026
Status: Active

Other names

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Specialty Clinic at Bloomsdale · doing business as
Specialty Clinic at Bloomsdale · doing business as

Authorized official

Scott Griffin
Revenue Cycle Director
(573) 883-4473

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194075200

Ste. Genevieve County Memorial Hospital's National Provider Identifier is 1194075200, issued on Sep 17, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bloomsdale, MO. The record was last updated on Sep 18, 2026.