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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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