MISSOURI BAPTIST HOSPITAL OF SULLIVAN (NPI# 1083165807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083165807 |
| Entity Type | Organization |
| Organization Name | MISSOURI BAPTIST HOSPITAL OF SULLIVAN |
| Other Organization Name | MISSOURI BAPTIST STEELVILLE OFFICE |
| Practice Address |
510 W Main St Steelville MO 65565 |
| Mailing Address |
751 Sappington Bridge Rd Administration Sullivan MO 63080-2354 |
| Practice Telephone | 5737754600 |
| Mailing Telephone | 5734684186 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | MR. TONY L SCHWARM (PRESIDENT) |
| Authorized Official Telephone | 5734684186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Missouri Baptist Steelville Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790953909 | Missouri Baptist Hospital of Sullivan | Obstetrics & Gynecology | 875 N Commercial Ave, Saint Clair, MO 63077-1118 | 2008-02-11 |
| 1396827408 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 102 Ozark Street, Suite B, Cuba, MO 65453-1664 | 2006-10-19 |
| 1487735445 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 510 West Main Street, Steelville, MO 65565 | 2006-10-18 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1184174567 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 240 College St, Bourbon, MO 65441-8308 | 2016-10-10 |
| 1689124166 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 102 Ozark Dr Ste B, Cuba, MO 65453-1664 | 2016-10-10 |
| 1851841332 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2016-10-10 |
| 1770764193 | Missouri Baptist Hospital of Sullivan | Family Medicine | 510 West Main Street, Steelville, MO 65565 | 2007-11-15 |
| 1235228222 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2006-10-11 |
| Street Address |
510 W MAIN ST |
| City | STEELVILLE |
| State | MO |
| Zip Code | 65565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356855084 | Kayla Elizabeth Dawson | Nurse Practitioner | 510 W Main St, Steelville, MO 65565 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578962577 | Kirk Larue | Speech-Language Pathologist | 868 West Main St, Steelville, MO 65565 | 2014-08-15 |
| 1235319526 | Katie E. Iliff | Occupational Therapist | 868 W. Main St, Steelville, MO 65565 | 2007-11-05 |
| 1679601421 | Medley Pharmacy Inc | Pharmacy | 503 W Main, Steelville, MO 65565 | 2007-03-02 |
| 1710012778 | Steelville Ambulance District | Emergency Medical Technician, Paramedic | #1 Ems Lane, Steelville, MO 65565 | 2007-02-22 |
| 1902949977 | Steelville Reorganized Sch Dist R 3 | Physical Therapist | 817 W Main, Steelville, MO 65565 | 2007-02-15 |
| 1487735445 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 510 West Main Street, Steelville, MO 65565 | 2006-10-18 |
| 1952382913 | Town & Country Super Market Inc | Durable Medical Equipment & Medical Supplies | 43 East Highway 8, Steelville, MO 65565 | 2005-11-08 |
| 1952398497 | Kenneth Colbert | Dentist | 204 W Main, Steelville, MO 65565 | 2005-09-30 |
| 1003330812 | Eric Richard Sands | Pharmacist | 43 East Highway 8, Steelville, MO 65565 | 2017-08-02 |
| 1770764193 | Missouri Baptist Hospital of Sullivan | Family Medicine | 510 West Main Street, Steelville, MO 65565 | 2007-11-15 |
| Find all providers in zip 65565 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629458 | Palm Valley Health LLC | Clinic/Center | 1095 Nooning Tree Dr, Chesterfield, MO 63017-2468 | 2020-08-10 |
| 1477175594 | Confident American English, LLC | Clinic/Center | 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 | 2020-05-12 |
| 1619513215 | Southeast Missouri Health Network | Clinic/Center | 835 W Murray Ln, Sikeston, MO 63801-4056 | 2019-11-19 |
| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1013433762 | Elevating Care Clinic, LLC | Clinic/Center | 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | STEELVILLE |
| Zip Code | 65565 |
Please comment or provide details below to improve the information on MISSOURI BAPTIST HOSPITAL OF SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.