Organization
FREEMAN-OAK HILL HEALTH SYSTEM
Active
Organization
FREEMAN-OAK HILL HEALTH SYSTEM
Active
Other names
Freeman Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GRADDY (CFO)
(417) 347-1111
Entity
Organization
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6605
(417) 347-9106
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6605
(417) 347-9106
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099600H
—
KS
05
—
100099600J
—
KS
05
—
100099600K
—
KS
01
—
110134
KS BCBS
KS
01
—
CD6111
RR MEDICARE
MO
01
—
CJ9325
RR MEDICARE
KS
Enumeration date
06/16/2006
Last updated
08/04/2020
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