institution
Missouri Baptist Hospital Of Sullivan
Rural Health Clinic/Center in Sullivan, Missouri
NPI 1235228222

Missouri Baptist Hospital Of Sullivan is a Rural Health Clinic/Center based in Saint Louis, MO and is specialized in Rural Health. Missouri Baptist Hospital Of Sullivan practices in Sullivan, MO. The NPI Number for Missouri Baptist Hospital Of Sullivan is 1235228222 and holds a License No. 355-24 (Missouri).

The current practice location address for Missouri Baptist Hospital Of Sullivan is 965 Mattox Dr, Sullivan, MO and can be reached out via phone at 573-486-4186 and via fax at 314-996-3610.

Location: 965 Mattox Dr, Sullivan, MO, 63141-8573
institution
Provider Profile Details
NPI Number
1235228222
Provider Name
Missouri Baptist Hospital Of Sullivan
Credential
Provider Entity Type
Organization
Address
965 Mattox Dr, Sullivan, MO, 63141-8573
Phone Number
573-486-4186
Fax Number
314-996-3610
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CE7443 01 MO MEDICARE RAILROAD
CG2664 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
965 Mattox Dr
City
State
Zip
63080-2365
Phone Number
573-486-4186
Fax Number
314-996-3610
person
Provider Business Mailing Address Details
Address
965 Mattox Dr
City
State
Zip
63080-2365
Phone Number
573-486-4186
Fax Number
314-996-3610
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
355-24 (Missouri)
Definition
Definition to come...
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