MISSOURI BAPTIST HOSPITAL OF SULLIVAN (NPI# 1396827408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396827408 |
| Entity Type | Organization |
| Organization Name | MISSOURI BAPTIST HOSPITAL OF SULLIVAN |
| Other Organization Name | CUBA MEDICAL OFFICE |
| Practice Address |
102 Ozark Street Suite B Cuba MO 65453-1664 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 5738856600 |
| Practice Fax Number | 3149963610 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | MR. TONY L SCHWARM (PRESIDENT) |
| Authorized Official Telephone | 5734681343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
355-24 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILRAOD | CE7443 | 01 |
| Other Name | Type Code |
|---|---|
| Cuba Medical 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 |
| 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 |
| 1083165807 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 510 W Main St, Steelville, MO 65565 | 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 |
102 OZARK STREET SUITE B |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1285998724 | Mercy Clinic East Communities | Clinic/Center | 301 Theresa St, Cuba, MO 65453-1636 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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.