MISSOURI BAPTIST SULLIVAN HOSPITAL
NPI 1396755369
Medicare Defined Swing Bed Unit in Sullivan, MO

NPI Status: Active since August 09, 2006

Contact Information

751 SAPPINGTON BRIDGE RD
SULLIVAN, MO
ZIP 63080
Phone: (573) 468-4186
Fax: (573) 860-2696

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About MISSOURI BAPTIST SULLIVAN HOSPITAL

This page provides the complete NPI Profile along with additional information for Missouri Baptist Sullivan Hospital, a provider established in Sullivan, Missouri operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1396755369 assigned on August 2006. The practitioner's primary taxonomy code is 275N00000X with license number 355-24 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Missouri Baptist Sullivan Hospital. The authorized official of this NPI record is Mr. Tony Schwarm Ii (President)

NPI
1396755369
Provider Legal Name
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Other Organization Name
MISSOURI BAPTIST SULLIVAN HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
751 SAPPINGTON BRIDGE RD SULLIVAN, MO 63080
Location Phone
(573) 468-4186
Location Fax
(573) 860-2696
Mailing Address
751 SAPPINGTON BRIDGE RD SULLIVAN, MO 63080
Mailing Phone
(573) 468-1343
Mailing Fax
(573) 860-2696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
355-24
License State
MO
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282NC0060XHospitals

General Acute Care Hospital
Critical Access

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Cox HealthPlans Bronze Expanded Standard $7,500 Deductible - EPO
  • Cox HealthPlans Bronze Preferred $9,200 Deductible - EPO
  • Cox HealthPlans Gold Preferred $500 Deductible - EPO
  • Cox HealthPlans Gold Standard $1,500 Deductible - EPO
  • Cox HealthPlans Silver Connect 9 $6,000 Deductible - EPO
  • Cox HealthPlans Silver Preferred $3,500 Deductible - EPO
  • Cox HealthPlans Silver Standard $5,000 Deductible - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TONY SCHWARM II

Authorized Official Title
PRESIDENT
Authorized Official Phone
(573) 468-1343

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
540565009MEDICAID (05)MO 
MI010565000MEDICAID (05)MO 
108OTHER (01)BLUE CROSS-BLUE SHIELD
489665OTHER (01)AETNA
800565004MEDICAID (05)MO 
108OTHER (01)BLUE CHOICE
260115OTHER (01)PREMIER PLUS

Reviews for MISSOURI BAPTIST SULLIVAN HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396755369
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318614510312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 1 + 0 + 3 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1396755369 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679598247BC MISSOURI EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(314) 953-6000
1699792234 MOHAMMED ISLAM M.D.
Individual
Emergency Medicine751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1750580510PARKWAY PATHOLOGY GROUP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)751 SAPPINGTON BRIDGE RD ATTN: PATHOLOGY DEPARTMENT
SULLIVAN, MO 63080
(573) 468-4186
1962677252 KELLY D PANEITZ R.D., L.D.
Individual
Dietitian, Registered751 SAPPINGTON BRIDGE RD MISSOURI BAPTIST HOSPITAL - SULLIVAN
SULLIVAN, MO 63080
(573) 468-1347
1821263112 APRIL ELAINE MCDONALD R.D., L.D.
Individual
Dietitian, Registered751 SAPPINGTON BRIDGE RD MISSOURI BAPTIST HOSPITAL-SULLIVAN
SULLIVAN, MO 63080
(573) 468-1348
1467569954 ARMELA AGASINO MD
Individual
Family Medicine751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-1997
1558729905MR. KELLY HINSON ACNP
Individual
Nurse Practitioner (Acute Care)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1336455708 REBECCA M HANKINS-FARBER FNP
Individual
Nurse Practitioner751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-1120
1083019020MRS. CINNAMON DALE MICHALIK NP-C
Individual
Nurse Practitioner (Family)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1669646808MRS. AMANDA MARIE CZARNECKI PA-C, MMS
Individual
Physician Assistant751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-1120
1891246617MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
Clinic/Center (Multi-Specialty)751 SAPPINGTON BRIDGE RD ADMINISTRATION
SULLIVAN, MO 63080
(573) 468-4186
1528676475MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
Clinical Medical Laboratory751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1881059202 MEGAN S TURNBOUGH FNP
Individual
Nurse Practitioner (Family)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-1997
1649708264 TYLER JOSEPH ADAMSKI DNP
Individual
Nurse Practitioner (Family)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1477034437 LISA ANN NELSON FNP-C
Individual
Nurse Practitioner (Family)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1831343268MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
Ambulance751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1215945480MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
Hospitalist751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1295743169MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
General Acute Care Hospital (Critical Access)751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1497763361MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Organization
Psychiatric Unit751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(573) 468-4186
1407584063COMPASS ANESTHESIA SERVICES LLC
Organization
Nurse Anesthetist, Certified Registered751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
(314) 239-5801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396755369, enumerated in the NPI registry as an "organization" on August 09, 2006

The provider is located at 751 Sappington Bridge Rd Sullivan, Mo 63080 and the phone number is (573) 468-4186

This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X

The provider might be accepting Accepts: Aetna CVS Health, Cox HealthPlans, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.