NPIMap

Organization Active NPI

Missouri Baptist Hospital of Sullivan

Doing business as Missouri Baptist Cuba Medical Office

  • Multi-Specialty Clinic/Center
  • Cuba, MO
National Provider Identifier
1689124166
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Doing business as
Missouri Baptist Cuba Medical Office
Practice address
102 Ozark Dr Ste B
Cuba, MO 65453-1664
Phone
(573) 885-6600
NPI assigned
Oct 10, 2016
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tony L Schwarm
Title
President
Phone
(573) 468-4186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

102 Ozark Dr Ste B
Cuba, MO 65453-1664

Mailing address

751 Sappington Bridge Rd
Administration
Sullivan, MO 63080-2354

Other names 1

  • Missouri Baptist Cuba Medical Office Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

National Provider Directory

National Provider Directory
Tax ID family
Missouri Baptist Hosp O8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1689124166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 SAPPINGTON BRIDGE RD",
            "address_2": "ADMINISTRATION",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OZARK DR STE B",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531664",
            "telephone_number": "573-885-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI BAPTIST HOSPITAL OF SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHWARM",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-468-4186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "102 Ozark Dr Ste B",
            "city": "Cuba",
            "state": "MO",
            "country_code": "US",
            "postal_code": "654531664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Missouri Baptist Cuba Medical Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri Baptist Cuba Medical Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuba, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.