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Missouri Baptist Hospital Of Sullivan
Critical Access Hospital in Sullivan, Missouri
NPI 1396755369

Missouri Baptist Hospital Of Sullivan is a Critical Access Hospital based in Sullivan, MO and is specialized in Critical Access. Missouri Baptist Hospital Of Sullivan practices in Sullivan, MO. The NPI Number for Missouri Baptist Hospital Of Sullivan is 1396755369 and holds a License No. 355-24 (Missouri).

The current practice location address for Missouri Baptist Hospital Of Sullivan is 751 Sappington Bridge Rd, Sullivan, MO and can be reached out via phone at 573-468-4186 and via fax at 573-860-2696.

Location: 751 Sappington Bridge Rd, Sullivan, MO, 63080-2354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396755369
Provider Name
Missouri Baptist Hospital Of Sullivan
Credential
Provider Entity Type
Organization
Address
751 Sappington Bridge Rd, Sullivan, MO, 63080-2354
Phone Number
573-468-4186
Fax Number
573-860-2696
Provider Enumeration Date
08/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108 01 BLUE CHOICE
260115 01 PREMIER PLUS
489665 01 AETNA
800565004 05 MO
108 01 BLUE CROSS-BLUE SHIELD
540565009 05 MO
MI010565000 05 MO
institution
Provider Business Practice Location Address Details
Address
751 Sappington Bridge Rd
City
Sullivan
State
Missouri
Zip
63080-2354
Phone Number
573-468-4186
Fax Number
573-860-2696
person
Provider Business Mailing Address Details
Address
751 Sappington Bridge Rd
City
Sullivan
State
Missouri
Zip
63080-2354
Phone Number
573-468-4186
Fax Number
573-860-2696
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
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Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
355-24 (Missouri)
Definition
Definition to come.
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