Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL
NPI 1104692946
Podiatrist - Foot Surgery in Bloomsdale, MO

Active since December 04, 2023
255 BODERMAN STE 2C, BLOOMSDALE, MO 63627(573) 883-2751 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2026, Dec 8, 2023 (2 updates tracked since 2023).

About Ste. Genevieve County Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL (NPI 1104692946), doing business as Bloomsdale Specialty Clinic, is a healthcare organization registered as a foot surgery in Bloomsdale, Missouri and active in the NPI registry since December 2023. The organization lists Scott Griffin, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1104692946
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameSTE. GENEVIEVE COUNTY MEMORIAL HOSPITAL
Location Address255 BODERMAN STE 2CBloomsdale, MO 63627-9099
Mailing Address800 Ste Genevieve DrSte Genevieve, MO 63670-1434
Organization SubpartYesParent: Ste Genevieve County Memorial Hospital
Authorized OfficialScott GriffinRevenue Cycle Director · (573) 883-2751
Enumeration DateDecember 4, 2023
Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1104692946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
255 BODERMAN STE 2C, Bloomsdale, MO 63627

Other Names 1

Doing Business AsBloomsdale Specialty Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ste. Genevieve County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Ste. Genevieve County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner21
Obstetrics/Gynecology7
Internal Medicine6
Family Practice4
Hematology/Oncology2
Pediatric Medicine2
Pulmonary Disease2
Cardiovascular Disease (Cardiology)1
8 other specialties8

Nearest to this location (20)

See all 53
Pediatric Medicine
NPI 1982345419
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-9492
✔ PECOSSame address
Family Practice
NPI 1568457463
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-9492
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063813046
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-9492
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1477818599
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-9492
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1841272861
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-2727
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1730743881
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-2929
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1316529951
255 BODERMAN
Bloomsdale, MO 63627
(573) 483-2929
✔ PECOS✔ Accepts Medicare2.1 mi
Qualified Speech Language Pathologist
NPI 1912548710
375 N 5TH ST
Ste Genevieve, MO 63670
(573) 883-4500
9.4 mi
Internal Medicine
NPI 1366456022
575 PINE DR
Ste Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Cardiovascular Disease (Cardiology)
NPI 1922088749
575 PINE DRIVE
Ste. Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Internal Medicine
NPI 1326453721
575 PINE DR
Ste Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1710239496
575 PINE DR
Ste Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1407455421
575 PINE DR
Ste Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1538616362
575 PINE DR
Ste Genevieve, MO 63670
(573) 883-7474
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1043361264
590 PINE DR
Ste Genevieve, MO 63670
(573) 883-4477
✔ PECOS9.5 mi
Family Practice
NPI 1720051162
930 PARK DR
Ste Genevieve, MO 63670
(573) 883-7424
✔ PECOS✔ Accepts Medicare9.5 mi
Certified Nurse Midwife (CNM)
NPI 1154636579
800 SAINTE GENEVIEVE DR
Sainte Genevieve, MO 63670
(573) 883-5715
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1861146557
800 STE GENEVIEVE DR
Sainte Genevieve, MO 63670
(573) 883-2751
✔ PECOS✔ Accepts Medicare9.5 mi
Family Practice
NPI 1407829849
753 POINTE BASSE DR
Ste Genevieve, MO 63670
(573) 883-2782
✔ PECOS✔ Accepts Medicare9.6 mi
General Surgery
NPI 1861466195
120 POINTE BASSE DR
Ste Genevieve, MO 63670
(573) 883-5717
✔ PECOS✔ Accepts Medicare9.7 mi
See all 53 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ste. Genevieve County Memorial Hospital's NPI number?

The NPI number for Ste. Genevieve County Memorial Hospital is 1104692946. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is doing business as Bloomsdale Specialty Clinic.

Where is Ste. Genevieve County Memorial Hospital located?

Ste. Genevieve County Memorial Hospital is located at 255 Boderman Ste 2C, Bloomsdale, MO 63627. The listed phone number is (573) 883-2751.

What is Ste. Genevieve County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Ste. Genevieve County Memorial Hospital enrolled in Medicare?

Yes. Ste. Genevieve County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ste. Genevieve County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 16 Medicare specialties reassign their Medicare billing to Ste. Genevieve County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Obstetrics/Gynecology (7) and Internal Medicine (6). Of these, 2 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ste. Genevieve County Memorial Hospital was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.