Organization · Type 2 NPI

Missouri Baptist Hospital of Sullivan

Multi-Specialty Clinic/Center · Cuba, MO

NPI number 1689124166 Active

Practice location

102 Ozark Dr Ste B
Cuba, MO 65453-1664

Call (573) 885-6600 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

Amirah Binti Tan Abdullah, MDObstetrics & Gynecology Physician Cuba, MO NPI 1699141747
Cory L.s. Offutt, MDFamily Medicine Physician Cuba, MO NPI 1811330806

NPI record

NPI: 1689124166
Entity type: Organization (Type 2)
Issued: Oct 10, 2016
Last updated: Mar 23, 2021
Status: Active

Other names

<unavail>
Missouri Baptist Cuba Medical Office · doing business as
Missouri Baptist Cuba Medical 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.

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About NPI 1689124166

Missouri Baptist Hospital of Sullivan's National Provider Identifier is 1689124166, issued on Oct 10, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Cuba, MO. The record was last updated on Mar 23, 2021.