Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
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 64628-2337
(660) 258-2222
(660) 258-5668
Mailing address
130 E LOCKLING ST, P.O. BOX 408, BROOKFIELD, MO 64628-2337
(660) 258-2222
(660) 258-5668
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010570406
—
MO
01
—
124
BLUE CROSS
MO
Enumeration date
07/18/2006
Last updated
11/08/2023
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