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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