NPIMap

Organization Active NPI

Ste Genevieve County Memorial Hospital

  • Hospitalist Physician
  • Ste Genevieve, MO
National Provider Identifier
1811318322
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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
Dec 31, 2013
Organization subpart
Yes
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Amanda Wolk
Title
Business Office Director
Phone
(573) 883-7703

Other NPIs on the same Medicare enrollment 3

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

Corporate family (same tax ID) 16

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

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records 1

Medicare enrollment files
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
This NPI is an additional NPI on the enrollment
Practice locations: Ste Genevieve, MO

National Provider Directory

National Provider Directory
Tax ID family
Ste Genevieve Co Hospital (17 organizations share this tax ID)
Part of
Ste Genevieve Co Hospital

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

NPPES NPI Registry

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 names 1

NPPES NPI Registry
  • SGCMH HOSPITALIST GROUP Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2023.

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1811318322",
    "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": "YES",
        "parent_organization_legal_business_name": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2013-12-31",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "573-883-7703"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGCMH HOSPITALIST GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SGCMH HOSPITALIST GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.