GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION NPI 1417991159

NPI Information

NPI: 1417991159
Provider Name: GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

Doing Business As: PERSHING MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628
Phone: (660) 258-2222
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GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION is a critical access general acute care hospital in Brookfield, MO. GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION NPI is 1417991159. The provider is registered as an organization entity type.
The provider Is Doing Business As Pershing Memorial Hospital.

The provider's business location address is:

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628-337
Phone: (660) 258-2222
Fax: (660) 258-1222

The provider's authorized official is Kenneth E Baranski .
The authorized official title is Cfo and has the following contact phone number (660) 258-1288.

The CLIA number assigned to this NPI record is 26D0705327 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	19843	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010570406	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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