GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION (NPI# 1639197361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639197361 |
| Entity Type | Organization |
| Organization Name | GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | PERSHING MEMORIAL HOSPITAL |
| Practice Address |
130 E Lockling St Brookfield MO 64628-2337 |
| Mailing Address |
130 E Lockling St P.o. Box 408 Brookfield MO 64628-2337 |
| Practice Telephone | 6602582222 |
| Practice Fax Number | 6602585668 |
| Mailing Telephone | 6602582222 |
| Mailing Fax Number | 6602585668 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-03-12 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010570406 | 05 | |
| MO | BLUE CROSS | 124 | 01 |
| Other Name | Type Code |
|---|---|
| Pershing Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407874126 | General John J Pershing Memorial Hospital Association | Home Health | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-07-18 |
| 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 |
| 1417991159 | General John J Pershing Memorial Hospital Association | General Acute Care Hospital | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-06-15 |
| 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 |
| 1174979439 | General John J, Pershing Memorial Hospital Association | Clinic/Center | 130 E Lockling St, Brookfield, MO 64628-2337 | 2016-05-05 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
| 1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
| 1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
| 1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1861861726 | Southeast Health Center of Reynolds LLC | Medicare Defined Swing Bed Unit | 100 Highway 21 N, Ellington, MO 63638-9409 | 2015-09-22 |
| 1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
| 1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
| 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.