NPIMap

Missouri Baptist Hospital of Sullivan

A Medicare group practice based in Sullivan, MO: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 2668380148), with 87 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668380148The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
10
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 4 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20051205000387 MO Part A Provider - Rural Health Clinic 1235228222
O20051205000413 MO Part A Provider - Rural Health Clinic 1326131475
O20051205000439 MO Part A Provider - Rural Health Clinic 1487735445
O20050519000401 MO Part B Supplier - Clinic/Group Practice 1396827408
O20050614001342 MO Part A Provider - Rural Health Clinic 1396827408
O20060410000616 MO Part B Supplier - Clinic/Group Practice 1295743169
O20060504000053 MO Part B Supplier - Clinic/Group Practice 1215945480
O20121011000007 MO Part A Provider - Critical Access Hospital 1396755369
O20121011000008 MO Part A Provider - Critical Access Hospital 1497763361
O20111215000300 MO Part A Provider - Critical Access Hospital 1295743169

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 87

Clinicians who reassign their Medicare benefits to this group (85) or whom Care Compare lists as members (40).

Sources for this page