MISSOURI BAPTIST HOSPITAL OF SULLIVAN

SULLIVAN, MO
NPI1962591958
Doing Business AsRIVERSIDE MEDICAL CLINIC
Entity TypeOrganization
Authorized ContactAUGUSTO A NORONHA
Vice President Finance And CFO
314-996-5118
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
(Licence: MO  355-24)
Enumeration Date2006-10-11
Last Update Date2011-12-02
Business Address
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
101 PROGRESS PKWY
SULLIVAN, MO 63080-2359
Phone number: 573-486-3555
Mailing Address
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7644