Organization
FREEMAN NEOSHO HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE W GRADDY (CFO)
(417) 347-6678
Entity
Organization
Contact information
Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 347-1234
(417) 347-0702
Mailing address
1102 WEST 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
(417) 347-0702
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010323806
—
MO
01
—
100712780F
MEDICAID
OK
01
—
200266700A
MEDICAID
KS
01
—
241760
HEALTHLINK
—
01
—
32066
BLUE CHOICE
MO
01
—
32162
BLUE CROSS BLUE SHIELD
MO
01
—
540323805
MEDICAID
MO
Enumeration date
08/28/2006
Last updated
10/16/2009
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