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BOURBON CLINIC
NPI 1326131475
Clinic/Center - Rural Health in Bourbon, MO

Active since October 02, 2006
240 COLLEGE ST, BOURBON, MO 65441(573) 732-5140(314) 996-3610 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bourbon Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOURBON CLINIC (NPI 1326131475) is a healthcare organization registered as a rural health in Bourbon, Missouri and active in the NPI registry since October 2006. The organization lists Tony Schwarm, President, as its authorized official.

NPPES Registry Identity

NPI1326131475
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMISSOURI BAPTIST HOSPITAL OF SULLIVAN
Location Address240 COLLEGE STBourbon, MO 65441-8308
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(573) 732-5140
Fax(314) 996-3610
Organization SubpartNo
Authorized OfficialTony SchwarmPresident · (573) 468-4186
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1326131475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 355-24
240 COLLEGE ST, Bourbon, MO 65441
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Other Names 1

Doing Business AsBourbon Clinic

Other Identifiers 2

OtherCE7443MO · Medicare Railroad
OtherCG2664MO · Medicare Railroad

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Clinic/Center (Multi-Specialty)
240 COLLEGE ST
BOURBON, MO 65441
Crawford County (573) 732-5004
ROBYN HEDGES
Nurse Practitioner (Family)
240 COLLEGE ST
BOURBON, MO 65441
Crawford County (573) 732-5140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Baptist Hospital Of Sullivan's NPI number?

The NPI number for Missouri Baptist Hospital Of Sullivan is 1326131475. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Bourbon Clinic.

Where is Missouri Baptist Hospital Of Sullivan located?

Missouri Baptist Hospital Of Sullivan is located at 240 College St, Bourbon, MO 65441. The listed phone number is (573) 732-5140.

What is Missouri Baptist Hospital Of Sullivan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Missouri Baptist Hospital Of Sullivan was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.