Healthcare Provider Details

I. General information

NPI: 1992875249
Provider Name (Legal Business Name): STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 STE GENEVIEVE DR
STE GENEVIEVE MO
63670-1434
US

IV. Provider business mailing address

800 STE GENEVIEVE DR
STE GENEVIEVE MO
63670-1434
US

V. Phone/Fax

Practice location:
  • Phone: 573-883-5715
  • Fax: 573-883-7796
Mailing address:
  • Phone: 573-883-2751
  • Fax: 573-883-7796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SCOTT GRIFFIN
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 573-883-2751