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SPECIALTY CLINIC AT BLOOMSDALE
NPI 1194075200
General Practice in Bloomsdale, MO

Active since September 17, 2012
255 BODERMAN, SUITE 2A, BLOOMSDALE, MO 63670(573) 883-4473(573) 883-4472 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2023, Sep 9, 2020 (2 updates tracked since 2020).

About Specialty Clinic At Bloomsdale NPPES

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

SPECIALTY CLINIC AT BLOOMSDALE (NPI 1194075200) is a healthcare organization registered as a general practice in Bloomsdale, Missouri and active in the NPI registry since September 2012. The organization lists Amanda Wolk, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1194075200
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTE. GENEVIEVE COUNTY MEMORIAL HOSPITAL
Location Address255 BODERMAN, SUITE 2ABloomsdale, MO 63670
Mailing AddressPo Box 366Ste Genevieve, MO 63670-0366 · (573) 883-4473 · Fax (573) 883-4472
Phone(573) 883-4473
Fax(573) 883-4472
Organization SubpartNo
Authorized OfficialAmanda WolkBusiness Office Director · (573) 883-7703
Enumeration DateSeptember 17, 2012
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1194075200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
255 BODERMAN, Bloomsdale, MO 63670
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Other Names 1

Doing Business AsSpecialty Clinic At Bloomsdale

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1194075200. It was assigned to this organization in the NPPES registry on September 17, 2012. The provider is doing business as Specialty Clinic At Bloomsdale.

Where is Ste. Genevieve County Memorial Hospital located?

Ste. Genevieve County Memorial Hospital is located at 255 Boderman Suite 2A, Bloomsdale, MO 63670. The listed phone number is (573) 883-4473.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ste. Genevieve County Memorial Hospital was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.