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CAH261331-00 FREEMAN NEOSHO HOSPITAL (Active)
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Main Details
Name
FREEMAN NEOSHO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH261331-00
Medicare Provider Number
261331
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
9/20/2010
Participating Approval Date
9/20/2010
Last Recertification Date
9/3/2024
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
113 W. HICKORY STREET
NEOSHO, MO 64850
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/28/2011 - DOC. RECD TO CONFIRM NON-PROFIT STATUS
07/28/2011
May 2025
May 2025
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