Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ste Genevieve County Memorial Hospital

Organization Foot Surgery Podiatrist · NPI 1104692946

Ste Genevieve County Memorial Hospital provides Foot Surgery Podiatrist services 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 Scott Griffin — Revenue Cycle Director · (573) 883-2751
Other names Bloomsdale Specialty Clinic
NPI enumeratedDecember 4, 2023
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026
Mailing address800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434