# BROOKFIELD FAMILY HEALTH CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1053509356
- **Authorized official:** TAMMY J SUMMERS (OFFICE MNANAGER)
- **Authorized official phone:** (660) 258-3363

## Contact information

- **Practice address:** 624 W. LOCKLING ST, BROOKFIELD, MO 64628-2336
- **Practice address phone:** (660) 258-3363
- **Practice address fax:** (660) 258-5409
- **Mailing address:** 624 W LOCKLING ST, BROOKFIELD, MO 64628-2003
- **Mailing address phone:** (660) 258-3363
- **Mailing address fax:** (660) 258-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 06/13/2012