| General John J Pershing Memorial Hospital Association | |
| 
					130 E Lockling St Brookfield MO 64628-2337  | |
| (660) 258-1050 | |
| (660) 258-1052 | 
| Full Name | General John J Pershing Memorial Hospital Association | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 130 E Lockling St, Brookfield, Missouri | 
| Authorized Official Name and Position | Kenneth E Baranski (CFO) | 
| Authorized Official Contact | 6602581288 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| General John J Pershing Memorial Hospital Association 125 E Lockling St P.o. Box 408 Brookfield MO 64628-2367 Ph: (660) 258-8237  | General John J Pershing Memorial Hospital Association 130 E Lockling St Brookfield MO 64628-2337 Ph: (660) 258-1050  | 
| NPI Number | 1487616256 | 
|---|---|
| Provider Enumeration Date | 04/05/2006 | 
| Last Update Date | 11/08/2023 | 
| Medicare PECOS PAC ID | 2860306750 | 
|---|---|
| Medicare Enrollment ID | O20040624000322 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487616256 | NPI | - | NPPES | 
| 503898603 | Medicaid | MO | |
| 596059501 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409  | |
Brookfield Family Health Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W. Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409  | |
General John J Pershing Memorial Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Lockling St, Brookfield, MO 64628 Phone: 660-258-1288 Fax: 660-258-4002  | |
Advanced Medical House Call And Telemedicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W Lockling St, Brookfield, MO 64628 Phone: 660-268-4006 Fax: 660-258-9006  | |
Pepito C & Minerva C Rivera Ptr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Main St, Brookfield, MO 64628 Phone: 660-258-3324 Fax: 660-258-3325  | |
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 West Lockling, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409  | |
Brookfield Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Main St, Brookfield, MO 64628 Phone: 660-258-7544 Fax: 660-258-7577  |