NPIMap

Organization Active NPI

Ste Genevieve County Memorial Hospital

Doing business as Metis Breast Center at Bloomsdale

  • Surgery Physician
  • Bloomsdale, MO
National Provider Identifier
1477803583
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Doing business as
Metis Breast Center at Bloomsdale
Practice address
255 Boderman
Suite 1B
Bloomsdale, MO 63627
Phone
(573) 883-4473
Fax
(573) 883-4472
NPI assigned
Sep 17, 2012
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

255 Boderman
Suite 1B
Bloomsdale, MO 63627

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-4473

Other names 1

  • Metis Breast Center at Bloomsdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ste Genevieve Mem Hosp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

255 Boderman
Ste 1B
Bloomsdale, MO 63627
Phone (573) 883-4473

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1477803583",
    "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": "573-883-4473",
            "fax_number": "573-883-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BODERMAN",
            "address_2": "SUITE 1B",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "63627",
            "telephone_number": "573-883-4473",
            "fax_number": "573-883-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metis Breast Center at Bloomsdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metis Breast Center at Bloomsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomsdale, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.