Healthcare Provider Details

I. General information

NPI: 1972732386
Provider Name (Legal Business Name): FREEMAN-OAK HILL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 W 32ND ST
JOPLIN MO
64804-3503
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 417-347-7400
  • Fax: 417-347-9078
Mailing address:
  • Phone: 417-347-7400
  • Fax: 417-347-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STEVE W GRADDY
Title or Position: CFO
Credential:
Phone: 417-347-6678