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Organization
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Active
Organization
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Active
Other names
Sullivan Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNNE LOCHNER (PRESIDENT)
(573) 860-6000
Entity
Organization
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7644
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
355-24
MO
Other
Enumeration date
10/11/2006
Last updated
09/17/2025
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