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DSH260137BD FREEMAN HEALTH SYSTEM (Active)
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Main Details
Name
FREEMAN HEALTH SYSTEM
Subdivision Name
ORTHOPAEDICS & SPORTS MEDICINE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260137BD
Medicare Provider Number
260137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/4/2016
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
1500 S CASE ST
CARTHAGE, MO 64836-2813
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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