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Contact Information

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
130 E LOCKLING AVE
BROOKFIELD, MO64628-0408
 Phone: 660-258-2222
 Fax: 660-258-5668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

NPI # 1073521555
LBN Legal business name GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Authorized official KENNNETH BARANSKI - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2006
Last updated 11/08/2023 - About 3 years ago
Identifiers
MO License # 060-8HO
MO Medicaid 820570406
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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