| Freeman Health System | |
|
932 E 34th St Joplin MO 64804-3932 | |
| (417) 347-7000 | |
| (417) 347-0702 |
| Full Name | Freeman Health System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 932 E 34th St, Joplin, Missouri |
| Authorized Official Name and Position | Steven W Graddy (CFO) |
| Authorized Official Contact | 4173476678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman Health System 1102 W 32nd St Joplin MO 64804-3503 Ph: (417) 347-1111 | Freeman Health System 932 E 34th St Joplin MO 64804-3932 Ph: (417) 347-7000 |
| NPI Number | 1073627584 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 8325942253 |
|---|---|
| Medicare Enrollment ID | O20080602000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073627584 | NPI | - | NPPES |
| 100711500O | Medicaid | OK | |
| 100099600G | Medicaid | KS | |
| 100693570A | Medicaid | OK | |
| 100099600A | Medicaid | KS | |
| 010565208 | Medicaid | MO | |
| 540565207 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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