NPIMap

Organization Active NPI

Ste Genevieve County Memorial Hospital

Doing business as Plaza Family Health Care

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
National Provider Identifier
1154871143
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Doing business as
Plaza Family Health Care
Practice address
120 Plaza Dr
Ste Genevieve, MO 63670-1828
Phone
(573) 883-1199
Fax
(573) 883-1189
NPI assigned
Oct 13, 2016
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 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) 883-2751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Primary

Addresses

Primary practice location

120 Plaza Dr
Ste Genevieve, MO 63670-1828

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-4477

Other names 2

  • Plaza Family Health Care Doing business as
  • Women's Wellness at the Plaza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000815 MO Part B Supplier - Clinic/Group Practice 3274432802 Receives reassigned benefits from 53 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ste Genevieve, MO; Perryville, MO; Fredericktown, MO
O20161110001445 MO Part A Provider - Rural Health Clinic 3274432802 Practice locations: Ste Genevieve, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154871143. Details of each certification follow.

Rural health clinic certification: CCN 268744

Legal name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Doing business as
PLAZA FAMILY HEALTH CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 17, 2017
Last certification
Dec 2, 2020
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Apr 1, 1969 in MO
Enrollment address
120 Plaza Dr
Ste Genevieve, MO 63670-1828
Related CCNs
261330

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2119400Plaza Family Health Care120 Plaza Drive, Sainte Genevieve, MO 63670Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory
Part of
St Genevieve Cty Mem HS

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Melissa Sutton Individual Corporate Director Aug 14, 2020
W-2 Managing Employee Aug 14, 2020
Rachel L Dallas Individual W-2 Managing Employee Apr 18, 2022
Jon E Branstetter Individual Corporate Director Aug 14, 2020
W-2 Managing Employee Aug 14, 2020
Mark Fallert Individual Corporate DirectorBoard Member Nov 1, 2016
Rod Scherer Individual Corporate DirectorBoard Member Nov 1, 2016
Amanda Wolk Individual W-2 Managing EmployeeDirector Physicians Central Bill Dec 15, 2019
Ste Genevieve County Memorial Hospital Organization, Ste Genevieve, MO Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2016 100%
Veronica Sharlow Individual Corporate DirectorBoard Member Nov 1, 2016
Cathy Land Individual W-2 Managing EmployeeProvider Enrollment Dec 15, 2019
Nicholas Wyatt Individual Corporate Director Aug 14, 2020
W-2 Managing Employee Aug 14, 2020
Kurt Basler Individual Corporate DirectorBoard Member Nov 1, 2016

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 261330 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1969
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

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 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1154871143",
    "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": "573-883-4477",
            "fax_number": "573-883-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLAZA DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701828",
            "telephone_number": "573-883-1199",
            "fax_number": "573-883-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "573-883-2751"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Wellness at the Plaza",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.