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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