Organization Active NPI

Brookfield Family Health Clinic

  • Clinic/Center
  • Brookfield, MO
National Provider Identifier
1003089699
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R9F17 Issued in MO
Legal business name
BROOKFIELD FAMILY HEALTH CLINIC
Practice address
125 E Lockling St
Brookfield, MO 64628-2336
Phone
(660) 258-3363
Fax
(660) 258-5409
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Jo Summers
Title
Office Manager
Phone
(660) 258-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X R9F17 MO Primary

Addresses

Primary practice location

125 E Lockling St
Brookfield, MO 64628-2336

Mailing address

125 E Lockling St
Brookfield, MO 64628-2336
Phone (660) 258-3363

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1003089699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282336",
            "telephone_number": "660-258-3363",
            "fax_number": "660-258-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282336",
            "telephone_number": "660-258-3363",
            "fax_number": "660-258-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-258-3363"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "R9F17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.