NPIMap

Organization Active NPI

Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
National Provider Identifier
1073587655
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
245-36 Issued in MO
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Practice address
800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone
(573) 883-2751
Fax
(573) 883-7796
NPI assigned
Feb 13, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Griffin
Title
Revenue Cycle Director
Phone
(573) 883-4473

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 245-36 MO
Critical Access Hospital 282NC0060X 245-36 MO Primary

Addresses

Primary practice location

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-2751

Other identifiers 3

IdentifierTypeStateIssuer
540491800MedicaidMO
122837OtherMOBLUE CROSS ANES
179240OtherMOBLUE SHEILD SOCIAL SERVIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040312000516 MO Part B Supplier - Clinic/Group Practice 3274432802 Receives reassigned benefits from 72 practitioners
3 other NPIs on this enrollment
Practice locations: Ste Genevieve, MO
O20040423000330 MO Part B Supplier - Clinic/Group Practice 3274432802 Receives reassigned benefits from 12 practitioners
Practice locations: Ste Genevieve, MO
O20150206000670 MO Part A Provider - Critical Access Hospital 3274432802 Receives reassigned benefits from 95 practitioners
Practice locations: Sainte Genevieve, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073587655. Details of each certification follow.

Hospital certification: CCN 261330

Legal name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Doing business as
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2005
Last certification
Aug 16, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670-1434
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ste Genevieve County Memorial HospitalCCN 261330 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

800 Ste Genevieve Dr
#468
Sainte Genevieve, MO 63670

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracy a Bonnell Individual Corporate DirectorDirector- Central Billing Office Oct 1, 2023
Rachel L Dallas Individual W-2 Managing Employee May 1, 2022
Amanda Wolk Individual Corporate Director Aug 1, 2020
W-2 Managing Employee Aug 1, 2020
Ste Genevieve County Memorial Hospital Organization, Sainte Genevieve, MO Medical provider/supplier 5% Or Greater Direct Ownership Interest Apr 1, 1969 100%
John Schmidt Individual Corporate OfficerChief Financial Officer Apr 1, 2023
Ann L Gegg Individual W-2 Managing Employee Jan 1, 2005

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ste Genevieve County Memorial HospitalSainte Genevieve, MO, CCN 26Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1969
Pine Drive Medical CentreSte Genevieve, MO, CCN 263439 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 2, 2004
Apple Kids PediatricsSte Genevieve, MO, CCN 268622 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 8, 1996
Jan 8, 1997
Women's Health CenterSte Genevieve, MO, CCN 268623 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 2, 2008
Jun 1, 2008
Bloomsdale Family Health CareBloomsdale, MO, CCN 268647 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2000
Nov 1, 2000
Family Health Care Pointe BasseSainte Genevieve, MO, CCN 268580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2004
Apr 1, 2004
Plaza Family Health CareSte Genevieve, MO, CCN 268744 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 133

Affiliated clinicians 100

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1073587655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STE GENEVIEVE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-2751",
            "fax_number": "573-883-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STE GENEVIEVE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-2751",
            "fax_number": "573-883-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "573-883-4473"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "245-36",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "245-36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540491800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANES",
            "identifier": "122837",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD SOCIAL SERVIC",
            "identifier": "179240",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.