Healthcare Provider Details

I. General information

NPI: 1396700621
Provider Name (Legal Business Name): FREEMAN-OAK HILL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 E 32ND ST SUITE F
JOPLIN MO
64804-4002
US

IV. Provider business mailing address

1130 E 32ND ST SUITE F
JOPLIN MO
64804-4002
US

V. Phone/Fax

Practice location:
  • Phone: 417-623-0166
  • Fax: 417-347-7447
Mailing address:
  • Phone: 417-347-7400
  • Fax: 417-347-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER WALKER
Title or Position: DIR OF DURABLE MEDICAL SERVICES
Credential:
Phone: 417-347-7400