GENERAL JOHN J, PERSHING MEMORIAL HOSPITAL ASSOCIATION (NPI# 1174979439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174979439 |
| Entity Type | Organization |
| Organization Name | GENERAL JOHN J, PERSHING MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | COMMUNITY MEDICAL ASSOCIATES |
| Practice Address |
130 E Lockling St Brookfield MO 64628-2337 |
| Mailing Address |
125 E Lockling St Brookfield MO 64628-2367 |
| Practice Telephone | 6602581050 |
| Practice Fax Number | 6602581052 |
| Mailing Telephone | 6602581307 |
| Mailing Fax Number | 6602584002 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | MR. PHIL HAMILTON (CEO) |
| Authorized Official Telephone | 6602582222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
19856 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503898603 | 05 | |
| MO | 596059501 | 05 |
| Other Name | Type Code |
|---|---|
| Community Medical Associates | Doing Business As Name - Organization |
| Street Address |
130 E LOCKLING ST |
| City | BROOKFIELD |
| State | MO |
| Zip Code | 64628-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463354 | Sisenando P Galvez Jr. | Family Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2005-08-03 |
| 1104322866 | Rebecca Frieda Krc | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628 | 2018-04-02 |
| 1023345923 | David Loris Dollins | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-11-13 |
| 1689811929 | General John J Pershing Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-01-08 |
| 1649457060 | Kimmy Ann Minkler | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2008-01-28 |
| 1427251750 | General John J. Pershing Memorial Hospital | Dietitian, Registered | 130 E Lockling St, Brookfield, MO 64628 | 2007-06-06 |
| 1881731776 | Gary W Fite | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2007-01-31 |
| 1316013675 | Jerry L Wait | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1932275286 | Irene Newman Parsonson | Nurse Practitioner | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1639197361 | General John J Pershing Memorial Hospital Association | Medicare Defined Swing Bed Unit | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1861761611 | Kristen Marie Butterfield | Physical Therapist | 116 East Pratt, Brookfield, MO 64628 | 2011-12-23 |
| 1588933386 | Jacey Lynne Mohr | Physical Therapy Assistant | 116 E Pratt, Brookfield, MO 64628 | 2011-12-22 |
| 1497841902 | Thomas Ervin Pitts | Dentist | 121 E Brooks St, Brookfield, MO 64628 | 2006-10-04 |
| 1902909559 | Hutchinson Clinic Inc | Allergy & Immunology | 624 W Lockling Ave, Brookfield, MO 64628 | 2006-09-07 |
| 1447257373 | Minerva C Concepcion-rivera | Internal Medicine | 125 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1992702823 | Pepito C Rivera | Surgery | 130 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1407874126 | General John J Pershing Memorial Hospital Association | Home Health | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-07-18 |
| 1073521555 | General John J Pershing Memorial Hospital Association | Hospice Care, Community Based | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| 1982612461 | General John J Pershing Memorial Hospital Association | Personal Emergency Response Attendant | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| Find all providers in zip 64628 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1437347994 | Ohc of The Southwest, Pa (mn) | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2007-10-10 |
| 1629264692 | U.S. Medgroup, P.a. | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2007-09-24 |
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| 1003469982 | Tms Institute of White Oak Psychiatry LLC | Clinic/Center | 4045 Ne Lakewood Way Ste 130a, Lees Summit, MO 64064-1799 | 2019-07-19 |
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| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 64628 |
Please comment or provide details below to improve the information on GENERAL JOHN J, PERSHING MEMORIAL HOSPITAL ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.