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DSH260137CA FREEMAN HEALTH SYSTEM (Active)
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Main Details
Name
FREEMAN HEALTH SYSTEM
Subdivision Name
ADVANCED SURGICAL PRACTICE - ADVANCED SURGICAL PRACTICE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260137CA
Medicare Provider Number
260137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/4/2025
Last Recertification Date
Contacts
Authorizing Official
Freeman Health System
Jeff Thompson, Chief Clinical Officer
(417) 347-3563
Primary Contact
Freeman Health System
Greg Cobble, Director of Retail Pharmacy Operations
(417) 347-3078
Addresses
Street Address
1020 MCINTOSH CIR
JOPLIN, MO 64804
Billing Address
FREEMAN HEALTH SYSTEM
1102 WEST 32ND STREET
JOPLIN, MO 64804-3503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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