MISSOURI BAPTIST HOSPITAL OF SULLIVAN NPI 1396755369

NPI Information

NPI: 1396755369
Provider Name: MISSOURI BAPTIST HOSPITAL OF SULLIVAN

Doing Business As: MISSOURI BAPTIST SULLIVAN HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO
ZIP 63080
Phone: (573) 468-4186
Get Directions

MISSOURI BAPTIST HOSPITAL OF SULLIVAN is a medicare defined swing bed unit in Sullivan, MO. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. MISSOURI BAPTIST HOSPITAL OF SULLIVAN NPI is 1396755369. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Baptist Sullivan Hospital.

The provider's business location address is:

751 SAPPINGTON BRIDGE RD
SULLIVAN, MO
ZIP 63080-354
Phone: (573) 468-4186
Fax: (573) 860-2696

The provider's authorized official is Tony Schwarm .
The authorized official title is President and has the following contact phone number (573) 468-1343.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access			No
2	275N00000X	Medicare Defined Swing Bed Unit		355-24	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	540565009	MEDICAID	MISSOURI
2	MI010565000	MEDICAID	MISSOURI
3	108	OTHER		BLUE CROSS-BLUE SHIELD
4	489665	OTHER		AETNA
5	800565004	MEDICAID	MISSOURI
6	108	OTHER		BLUE CHOICE
7	260115	OTHER		PREMIER PLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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