Missouri Baptist Hospital of Sullivan
NPI 1215945480ActiveOrganization· Clinic/Center, Multi-Specialty· Sullivan, MO
Clinic/Center, Multi-Specialty in Sullivan, Missouri, registered in NPPES in August 2006. The authorized official on file is Lisa Lynne Lochner, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215945480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2006 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | — | — |
| Hospitalist | 208M00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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