Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL ASSOCIATION
Other names
Communtiy Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL ASSOCIATION
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) 258-1050
(660) 258-1052
Mailing address
125 E LOCKLING ST, P.O. BOX 408, BROOKFIELD, MO 64628-2367
(660) 258-8237
(660) 258-4002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503898603
—
MO
05
—
596059501
—
MO
Enumeration date
04/05/2006
Last updated
11/08/2023
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