# GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Applegate Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063705341
- **Authorized official:** MR. KENNETH E BARANSKI CPA (CFO)
- **Authorized official phone:** (660) 258-1288

## Contact information

- **Practice address:** 130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
- **Practice address phone:** (660) 258-1288
- **Practice address fax:** (660) 258-4002
- **Mailing address:** 125 E LOCKLING ST, BROOKFIELD, MO 64628-2367
- **Mailing address phone:** (660) 258-8237
- **Mailing address fax:** (660) 258-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 11/08/2023