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 provides General Practice Physician services 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