STE GENEVIEVE COUNTY MEMORIAL HOSPITAL – NPI #1871841395
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL is an AHC clinic located in BLOOMSDALE, MO. NPPES has assigned the NPI number 1871841395 to STE GENEVIEVE COUNTY MEMORIAL HOSPITAL on August 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. STE GENEVIEVE COUNTY MEMORIAL HOSPITAL is also known by the name ME'TIS BREAST CARE. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 6 years ago on Sep 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STE GENEVIEVE COUNTY MEMORIAL HOSPITAL below.

NPI Profile for
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

NPI Number
1871841395
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Other Name: ME'TIS BREAST CARE
Other name(s)
All associated names:
Other Name
ME'TIS BREAST CARE
Doing Business As (dba)
Womens Wellness Services at Bloomsdale
Primary location
255 BODERMAN DR
BLOOMSDALE, MO 63627-9099
Phone: (573) 483-2727 Fax:
Mailing address
PO BOX 366
STE GENEVIEVE, MO 63670-0366
Phone: (573) 883-2751 Fax: (573) 883-7796
Organization Subpart
No
Authorized Official
JON BRANSTETTER
CFO
Phone: (573) 883-7714
Updated
Certification Date
Sep 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.