Talk to Us - Patient Accounts

Missouri Baptist Patient Accounts
P.O. Box 50424
St. Louis, Mo. 63150-0424

phone -- (314) 996-3600
toll free -- (800) 388-9180
fax -- (314) 996-3610

Thank you for your interest in Missouri Baptist Medical Center. We'd be happy to answer any questions you may have about our Hospital.

Please give us some information about yourself, so we can contact you. Please double-check the accuracy of the information you provide to ensure we'll be able to reach you within 48 hours of our next business day.

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Title:

*First Name:

*Last Name:

Patient's Account Number:

Telephone:

E-Mail:

*Address:

Address Line 2:

*City:

*State:

*ZIP/Postal:

*Country:

*Responsible Party's
Social Security Number:

Date of Birth:

Month	Day	Year

You may mail information to me: Yes No

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