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 provides Surgery Physician services 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