# GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** General JJ Pershing HH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407874126
- **Authorized official:** MR. KENNETH E BARANSKI CPA (CFO)
- **Authorized official phone:** (660) 258-1288

## Contact information

- **Practice address:** 130 E LOCKLING AVE, BROOKFIELD, MO 64628-0408
- **Practice address phone:** (660) 258-2222
- **Practice address fax:** (660) 258-5668
- **Mailing address:** 130 E LOCKLING AVE, P.O. BOX 408, BROOKFIELD, MO 64628-0408
- **Mailing address phone:** (660) 258-2222
- **Mailing address fax:** (660) 258-5668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 216-21 | MO | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 11/08/2023