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DSH260137CB FREEMAN HEALTH SYSTEM (Approved)
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Main Details
Name
FREEMAN HEALTH SYSTEM
Subdivision Name
NEUROSPINE - Freeman NeuroSpine-Neurology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260137CB
Medicare Provider Number
260137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/7/2025
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
3401 MCINTOSH CIR
STE 100
JOPLIN, MO 64804-3651
Billing Address
Freeman Health System
1102 W 32nd St
Joplin, MO 64804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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