Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri Baptist Hospital of Sullivan

Organization Rural Health Clinic/Center · NPI 1962591958

Missouri Baptist Hospital of Sullivan is a Rural Health Clinic/Center in Sullivan, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

101 Progress Pkwy
Sullivan, MO 63080-2359
Phone: (573) 486-3555
Fax: (314) 996-3610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 355-24 (MO)

Record details

NPI number1962591958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Augusto Noronha — Vice President Finance And Cfo · (314) 996-5118
Other names Riverside Medical Clinic
NPI enumeratedOctober 11, 2006
Last updated in NPPESDecember 2, 2011
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

Other providers in Sullivan