Organization
FREEMAN-OAK HILL HEALTH SYSTEM
Active
Other names
Freeman Maternity Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P. GAUDETTE (DIRECTOR/VP)
(417) 347-6605
Entity
Organization
Contact information
Practice address
3401 MC INTOSH CIR STE 101, JOPLIN, MO 64804-3604
(417) 347-8566
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188674907
—
MO
Enumeration date
05/12/2008
Last updated
09/29/2021
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