# MISSOURI BAPTIST HOSPITAL OF SULLIVAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sullivan Medical Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235228222
- **Authorized official:** LISA LYNNE LOCHNER (PRESIDENT)
- **Authorized official phone:** (573) 860-6000

## Contact information

- **Practice address:** 751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
- **Practice address phone:** (573) 468-4186
- **Mailing address:** 670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
- **Mailing address phone:** (314) 996-7644
- **Mailing address fax:** (314) 996-7658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 355-24 | MO | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/17/2025