BROOKFIELD FAMILY HEALTH CLINIC
NPI 1003089699
Clinic/Center in Brookfield, MO

NPI Status: Active since April 04, 2008

Contact Information

125 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628
Phone: (660) 258-3363
Fax: (660) 258-5409

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  • Organization
  • Clinic/Center

About BROOKFIELD FAMILY HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Brookfield Family Health Clinic, a provider established in Brookfield, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1003089699 assigned on April 2008. The practitioner's primary taxonomy code is 261Q00000X with license number R9F17 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Tammy Jo Summers (Office Manager)

NPI
1003089699
Provider Name
BROOKFIELD FAMILY HEALTH CLINIC
Entity Type
Organization
Location Address
125 E LOCKLING ST BROOKFIELD, MO 64628
Location Phone
(660) 258-3363
Location Fax
(660) 258-5409
Mailing Address
125 E LOCKLING ST BROOKFIELD, MO 64628
Mailing Phone
(660) 258-3363
Mailing Fax
(660) 258-5409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2008
Last Update Date
04-04-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
R9F17
License State
MO
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMMY JO SUMMERS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(660) 258-3363

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003089699
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030818618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 8 + 1 + 8 + 6 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1003089699 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215009816DR. WILLIAM B COPPLE D.D.S.
Individual
Dentist (General Practice)125 E LOCKLING ST
BROOKFIELD, MO 64628
(660) 258-3553
1225476013 KENDAL LEWIS GENO M.D.
Individual
Family Medicine125 E LOCKLING ST
BROOKFIELD, MO 64628
(660) 258-8237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003089699, enumerated in the NPI registry as an "organization" on April 04, 2008

The provider is located at 125 E Lockling St Brookfield, Mo 64628 and the phone number is (660) 258-3363

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on April 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.