Organization Name: | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1619026580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS KEIM (CEO) |
Mailing Address: | 800 Ste Genevieve Dr Ste Genevieve |
State: | MO US |
Postal Code: | 636701434 |
Phone Number: | 5738835717 |
Fax Number: | 5738834472 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |