GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION


Address: 130 E Lockling Ave, Brookfield, MO 64628-0408
Phone: 6602582222

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION (NPI# 1407874126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407874126
Entity Type Organization
Organization Name GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Other Organization Name GENERAL JJ PERSHING HH
Practice Address 130 E Lockling Ave
Brookfield
MO 64628-0408
Mailing Address 130 E Lockling Ave
P.o. Box 408
Brookfield
MO 64628-0408
Practice Telephone 6602582222
Practice Fax Number 6602585668
Mailing Telephone 6602582222
Mailing Fax Number 6602585668
Enumeration Date 2006-07-18
Last Update Date 2011-09-22
Authorized Official Name MR. PHIL HAMILTON (CEO)
Authorized Official Telephone 6602582222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 216-21 MO Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MO BLUE CROSS 124 01
MO 580570406 05

Other Provider/Organization Names

Other Name Type Code
General JJ Pershing HH Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285995944 General John J Pershing Memorial Hospital Association Clinic/Center 101 E Hayward St, Meadville, MO 64659-9201 2012-05-30
1063705341 General John J Pershing Memorial Hospital Association Clinic/Center 125 E Lockling St, Brookfield, MO 64628-2367 2011-05-19
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
1639197361 General John J Pershing Memorial Hospital Association Medicare Defined Swing Bed Unit 130 E Lockling St, Brookfield, MO 64628-2337 2006-07-18
1417991159 General John J Pershing Memorial Hospital Association General Acute Care Hospital 130 E Lockling St, Brookfield, MO 64628-2337 2006-06-15

Office Location

Street Address 130 E LOCKLING AVE
City BROOKFIELD
State MO
Zip Code 64628-0408

Providers in the same location

NPI Name Taxonomy Address Enumeration
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

Providers in the same zip code

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
1104322866 Rebecca Frieda Krc Emergency Medicine 130 E Lockling St, Brookfield, MO 64628 2018-04-02
1427251750 General John J. Pershing Memorial Hospital Dietitian, Registered 130 E Lockling St, Brookfield, MO 64628 2007-06-06
1174511927 Tiffany Care Centers Skilled Nursing Facility 116 E Pratt St, Brookfield, MO 64628-1337 2005-10-06
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396307203 We Care Personal Care LLC Home Health 3065 N 124th St Ste 204b, Brookfield, WI 53005-3874 2019-07-01
1891205795 Barbara Jean Capri Home Health 97 Laurel Hill Rd, Brookfield, CT 06804-1014 2017-10-05
1336584275 Lhcg Xlvii, LLC Home Health 19265 W Capitol Dr Ste L01, Brookfield, WI 53045-2740 2013-05-06
1760638399 Advantage Health Care Home Health 155 S Executive Dr Ste 102, Brookfield, WI 53005-4205 2008-08-14
1033378096 Cheryl Anne Monsour Home Health 347 Golf Dr Se, Brookfield, OH 44403 2008-06-05
1407992985 Allay Home & Hospice, Inc. Home Health 325 N. Corporate Dr., Suite 260, Brookfield, WI 53045 2007-01-30
1437228244 Ls Professional Comfort Homes Inc Home Health 14665 W Lisbon Rd, Suite 1a, Brookfield, WI 53005-1687 2006-11-07
1710967104 Recover Health of Wisconsin, Inc Home Health 330 S Executive Dr Ste 110, Brookfield, WI 53005 2006-01-20
1417424102 Caring for Wisconsin Inc. Home Health 210 Regency Ct Ste L103, Brookfield, WI 53045-6187 2018-10-31
1518334572 All American Home Health Care LLC Home Health 3235 N 124th St, Suite 4, Brookfield, WI 53005-3126 2015-08-26
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Competitor

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City BROOKFIELD
Zip Code 64628

Improve Information

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Dataset Information

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.

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