Organization · Type 2 NPI

Missouri Baptist Hospital of Sullivan

Multi-Specialty Clinic/Center · Steelville, MO

NPI number 1083165807 Active

Practice location

510 W Main St
Steelville, MO 65565

Call (573) 775-4600 Map

Mailing address

751 Sappington Bridge Rd, Administration
Sullivan, MO 63080-2354

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Jordan Marie Priest, DNP, FNP-BCNurse Practitioner Steelville, MO NPI 1790410751
Kayla Elizabeth Dawson, FNPFamily Nurse Practitioner Steelville, MO NPI 1356855084

NPI record

NPI: 1083165807
Entity type: Organization (Type 2)
Issued: Oct 17, 2016
Last updated: Mar 23, 2021
Status: Active

Other names

<unavail>
Missouri Baptist Steelville Office · doing business as
Missouri Baptist Steelville Office · doing business as

Authorized official

Mr. Tony L Schwarm
President
(573) 468-4186

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083165807

Missouri Baptist Hospital of Sullivan's National Provider Identifier is 1083165807, issued on Oct 17, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Steelville, MO. The record was last updated on Mar 23, 2021.