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130 E Lockling St Brookfield MO 64628-2337 | |
(660) 258-1050 | |
(660) 258-1052 |
Full Name | |
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Speciality | Clinic/Center |
Location | 130 E Lockling St, Brookfield, Missouri |
Authorized Official Name and Position | Kenneth E Baranski (CFO) |
Authorized Official Contact | 6602581288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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125 E Lockling St P.o. Box 408 Brookfield MO 64628-2367 Ph: (660) 258-8237 | 130 E Lockling St Brookfield MO 64628-2337 Ph: (660) 258-1050 |
NPI Number | 1487616256 |
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Provider Enumeration Date | 04/05/2006 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 2860306750 |
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Medicare Enrollment ID | O20040624000322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487616256 | NPI | - | NPPES |
503898603 | Medicaid | MO | |
596059501 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Brookfield Family Health Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W. Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 West Lockling, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Brookfield Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Main St, Brookfield, MO 64628 Phone: 660-258-7544 Fax: 660-258-7577 |