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RIVERSIDE MEDICAL CLINIC
NPI 1962591958
Clinic/Center - Rural Health in Sullivan, MO

Active since October 11, 2006
101 PROGRESS PKWY, SULLIVAN, MO 63080(573) 486-3555(314) 996-3610 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Medical Clinic NPPES

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

RIVERSIDE MEDICAL CLINIC (NPI 1962591958) is a healthcare organization registered as a rural health in Sullivan, Missouri and active in the NPI registry since October 2006. The organization lists Augusto A Noronha, Vice President Finance And Cfo, as its authorized official.

NPPES Registry Identity

NPI1962591958
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMISSOURI BAPTIST HOSPITAL OF SULLIVAN
Location Address101 PROGRESS PKWYSullivan, MO 63080-2359
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(573) 486-3555
Fax(314) 996-3610
Organization SubpartNo
Authorized OfficialAugusto A NoronhaVice President Finance And Cfo · (314) 996-5118
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 2, 2011
✔ NPI 1962591958 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
101 PROGRESS PKWY, Sullivan, MO 63080
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Other Names 1

Doing Business AsRiverside Medical Clinic

Other Identifiers 2

Medicare OSCAR/certification268604MO
Medicare PIN000013229

Other Providers at the Same Location NPPES 20

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

DR. FELIPE ELJAIEK M.D.
Internal Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 468-3555
KHURSHEED ZIA M.D.
Psychiatry & Neurology (Psychiatry)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
DR. PATRICIA HINKLE M.D.
Family Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
SARAH ELIZABETH PRICE LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
TONI MARIE GLOVER LPN
Licensed Practical Nurse
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 364-7551
DANIELLE BEALMEAR LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
JESSICA KATHLEEN BAKULA
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
SANDRA RACHELE SUMNER RDH
Dental Hygienist
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937

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 1962591958. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Riverside Medical Clinic.

Where is Missouri Baptist Hospital Of Sullivan located?

Missouri Baptist Hospital Of Sullivan is located at 101 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (573) 486-3555.

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 December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.