Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Applegate Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E BARANSKI CPA (CFO)
(660) 258-1288
Entity
Organization
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-1288
(660) 258-4002
Mailing address
125 E LOCKLING ST, BROOKFIELD, MO 64628-2367
(660) 258-8237
(660) 258-4002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-8669
RHC MEDICARE PROVIDER
MO
Enumeration date
05/19/2011
Last updated
11/08/2023
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