BROOKFIELD FAMILY HEALTH CLINIC (NPI# 1285901397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285901397 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD FAMILY HEALTH CLINIC |
| Practice Address |
624 West Lockling Brookfield MO 64628-2336 |
| Practice Telephone | 6602583363 |
| Practice Fax Number | 6602585409 |
| Mailing Telephone | 6602583363 |
| Mailing Fax Number | 6602585409 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | DR. BRIAN KEVIN KNOWLES (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6602583363 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
R9F17 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242289007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089699 | Brookfield Family Health Clinic | Clinic/Center | 125 E Lockling St, Brookfield, MO 64628-2336 | 2008-04-04 |
| Street Address |
624 WEST LOCKLING |
| City | BROOKFIELD |
| State | MO |
| Zip Code | 64628-2336 |
| 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 |
| 1407874126 | General John J Pershing Memorial Hospital Association | Home Health | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-07-18 |
| Find all providers in zip 64628 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063705341 | General John J Pershing Memorial Hospital Association | Clinic/Center | 125 E Lockling St, Brookfield, MO 64628-2367 | 2011-05-19 |
| 1992951230 | Gen. John J. Perhsing Memorial Hospital Association | Clinic/Center | 125 E Lockling St, Brookfield, MO 64628-2336 | 2008-08-18 |
| 1487616256 | General John J. Pershing Memorial Hospital Association | Clinic/Center | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-04-05 |
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| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 64628 |
Please comment or provide details below to improve the information on BROOKFIELD FAMILY HEALTH CLINIC.
| 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.