Missouri Baptist Hospital of Sullivan

Organization Active NPI Multi-Specialty Clinic/Center · Cuba, MO

NPI 1689124166 · NPPES record last updated Mar 23, 2021

Key facts

NPI
1689124166
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Practice address
102 Ozark Dr Ste B
Cuba, MO 65453-1664
Phone
(573) 885-6600
NPI assigned
Oct 10, 2016
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
BJC Medical Group (8 organizations share this tax ID)

Specialties & licenses

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

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

  • Missouri Baptist Cuba Medical Office Doing business as

Electronic endpoints

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

Other providers in Cuba, MO

All providers in Cuba, MO · Multi-Specialty Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.