Organization · Type 2 NPI

Missouri Baptist Hospital of Sullivan

Rural Health Clinic/Center · Sullivan, MO

NPI number 1962591958 Active

Practice location

101 Progress Pkwy
Sullivan, MO 63080-2359

Fax (314) 996-3610

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300X355-24 (MO)

Rural Health Clinic/Center: Definition to come...

36 other providers at this address

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About NPI 1962591958

Missouri Baptist Hospital of Sullivan's National Provider Identifier is 1962591958, issued on Oct 11, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sullivan, MO. The record was last updated on Dec 2, 2011.