Brookfield Family Health Clinic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BROOKFIELD FAMILY HEALTH CLINIC PC

Practice address

624 W. Lockling St
Brookfield, MO 64628-2336

Phone

(660) 258-3363

Fax

(660) 258-5409

NPI assigned

Oct 11, 2007

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy J Summers

Title

Office Mnanager

Phone

(660) 258-3363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1053509356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282003",
            "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": "624 W. 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 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MNANAGER",
        "authorized_official_telephone_number": "660-258-3363"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506793702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Louise Arnold, DNP FNP-C
• Rochelle Gaye Brackey, RPH
• Bristol Care, Inc.
• Brookfield Family Health Clinic
• Brookfield Family Health Clinic
• Brookfield Health Care Center, L.L.C. (Brookfield Health Care Center)
• Brookfield Medical Clinic
• Brookfield Medical Investors, LLC (Life Care Center of Brookfield)
• Brookfield Physical Therapy,Inc.
• Brookfield R-III School District

• Clinic/Center in Brookfield, MO
• Providers in Brookfield, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.