Organization
FREEMAN NEOSHO HOSPITAL
Active
Organization
FREEMAN NEOSHO HOSPITAL
Active
Other names
Freeman Neosho Anesthesiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE L. KIRK (EXECUTIVE VP)
(417) 347-1111
Entity
Organization
Contact information
Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 347-1078
(417) 347-1079
Mailing address
PO BOX 3930, JOPLIN, MO 64803-3930
(417) 347-1078
(417) 347-1079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CU0090
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
10/16/2007
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