Organization
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Active
Organization
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Active
Other names
Missouri Baptist Sullivan Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNNE LOCHNER (PRESIDENT)
(573) 468-1345
Entity
Organization
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
(314) 996-3610
Mailing address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-1343
(573) 860-2696
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108
BLUE CROSS-BLUE SHIELD
—
01
—
260115
PREMIER PLUS
—
01
—
489665
AETNA
—
05
—
540565009
—
MO
05
—
800565004
—
MO
05
—
MI010565000
—
MO
Enumeration date
08/04/2006
Last updated
10/17/2025
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