MISSOURI BAPTIST HOSPITAL OF SULLIVAN (NPI# 1497763361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497763361 |
| Entity Type | Organization |
| Organization Name | MISSOURI BAPTIST HOSPITAL OF SULLIVAN |
| Other Organization Name | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| Practice Address |
751 Sappington Bridge Rd Sullivan MO 63080-2354 |
| Practice Telephone | 5734684186 |
| Practice Fax Number | 5738602696 |
| Mailing Telephone | 5734681343 |
| Mailing Fax Number | 5738602696 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-06-21 |
| 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 | 273R00000X | Psychiatric Unit | 355-24 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CHOICE | 108 | 01 | |
| PREMIER PLUS | 260115 | 01 | |
| MO | 800565004 | 05 | |
| BLUE CROSS-BLUE SHIELD | 108 | 01 | |
| AETNA | 489665 | 01 | |
| MO | 540565009 | 05 | |
| MO | MI010565000 | 05 |
| Other Name | Type Code |
|---|---|
| Missouri Baptist Sullivan Hospital | 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 |
| 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 |
| Street Address |
751 SAPPINGTON BRIDGE RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598247 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-13 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1558729905 | Kelly Hinson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2016-01-31 |
| 1881059202 | Megan Turnbough | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-12-30 |
| 1679941546 | Courtney Dulworth | Registered Nurse | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-09-09 |
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033499256 | University of Missori Health System | Psychiatric Unit | Dept of Medicine Univ of Missouri, One Hospital Drive Ne402, Columbia, MO 65212-0001 | 2011-08-18 |
| 1629391636 | Farmington Missouri Hospital Company, LLC | Psychiatric Unit | 1212 Weber St., Farmington, MO 63640-3325 | 2010-03-04 |
| 1346312873 | Phelps County Regional Medical Center | Psychiatric Unit | 1000 West 1oth Street, Rolla, MO 65401 | 2006-11-13 |
| 1700831724 | Poplar Bluff Regional Medical Center LLC | Psychiatric Unit | 3100 Oak Grove Rd., Poplar Bluff, MO 63901 | 2006-05-24 |
| 1912989351 | Cass Medical Center | Psychiatric Unit | 1800 E Mechanic St, Harrisonville, MO 64701-2017 | 2005-11-18 |
| 1124012356 | Columbia Regional Hospital - Psychiatric Unit | Psychiatric Unit | 404 Keene St, Columbia, MO 65201-6626 | 2005-09-02 |
| 1023017746 | St Alexius Hospital Corporation 1 | Psychiatric Unit | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2005-07-14 |
| 1427661792 | Noble Health Fulton Inc. | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1376031757 | Prime Healthcare Services - Kansas City LLC | Psychiatric Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-05-01 |
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| 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.