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Missouri Baptist Hospital of Sullivan — NPI 1184174567, Bourbon, MO | NPI Central

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NPI 1184174567

OrganizationActive

Missouri Baptist Hospital of Sullivan

NPI 1184174567 · Multi-Specialty Clinic/Center · Bourbon, MO

Provider details

NPI number: 1184174567
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Tony Schwarm, President(573) 468-4186

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities

Practice location

240 College St

Bourbon, MO 65441-8308

Phone: (573) 732-5004

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

751 Sappington Bridge Rd

Sullivan, MO 63080-2354

Other names (DBA / former)

Doing business as: Bourbon Medical Office
Doing business as: Bourbon Medical Office

Registry dates

Enumerated: 2016-10-10
Last updated: 2021-03-23
Certified: 2021-03-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.