Organization
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Active
Other names
Missouri Baptist Sullivan Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TONY SCHWARM (PRESIDENT)
(573) 468-4186
Entity
Organization
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
03/23/2021
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