Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL
Active
Other names
Pershing Memorial Hospital
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
(660) 258-2222
(660) 258-5668
Mailing address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-2222
(660) 258-5668
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
20001006915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358970002
—
MO
Enumeration date
06/06/2007
Last updated
11/08/2023
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