# BROOKFIELD MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1407266265
- **Authorized official:** NANCY A HUTCHINSON D.O. (OWNER)
- **Authorized official phone:** (660) 258-7544

## Contact information

- **Practice address:** 308 N MAIN ST, BROOKFIELD, MO 64628-1601
- **Practice address phone:** (660) 258-7544
- **Practice address fax:** (660) 258-7577
- **Mailing address:** PO BOX 464, BROOKFIELD, MO 64628-0464
- **Mailing address phone:** (660) 258-7544
- **Mailing address fax:** (660) 258-7577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30110 | MO | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 05/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 120002207 | RAILROAD MEDICARE | MO |
| 05 | — | 240728717 | — | MO |