# BROOKFIELD FAMILY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003089699
- **Authorized official:** TAMMY JO SUMMERS (OFFICE MANAGER)
- **Authorized official phone:** (660) 258-3363

## Contact information

- **Practice address:** 125 E LOCKLING ST, BROOKFIELD, MO 64628-2336
- **Practice address phone:** (660) 258-3363
- **Practice address fax:** (660) 258-5409
- **Mailing address:** 125 E LOCKLING ST, BROOKFIELD, MO 64628-2336
- **Mailing address phone:** (660) 258-3363
- **Mailing address fax:** (660) 258-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | R9F17 | MO | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008