institution
Missouri Baptist Hospital Of Sullivan
Rural Health Clinic/Center in Bourbon, Missouri
NPI 1326131475

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 Bourbon, MO. The NPI Number for Missouri Baptist Hospital Of Sullivan is 1326131475 and holds a License No. 355-24 (Missouri).

The current practice location address for Missouri Baptist Hospital Of Sullivan is 240 College St, Bourbon, MO and can be reached out via phone at 573-732-5140 and via fax at 314-996-3610.

Location: 240 College St, Bourbon, MO, 63141-8573
institution
Provider Profile Details
NPI Number
1326131475
Provider Name
Missouri Baptist Hospital Of Sullivan
Credential
Provider Entity Type
Organization
Address
240 College St, Bourbon, MO, 63141-8573
Phone Number
573-732-5140
Fax Number
314-996-3610
Provider Enumeration Date
10/02/2006
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
240 College St
City
State
Zip
65441-8308
Phone Number
573-732-5140
Fax Number
314-996-3610
person
Provider Business Mailing Address Details
Address
240 College St
City
State
Zip
65441-8308
Phone Number
573-732-5140
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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