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DSH260137BQ FREEMAN HEALTH SYSTEM (Active)
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Main Details
Name
FREEMAN HEALTH SYSTEM
Subdivision Name
Gastroenterology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260137BQ
Medicare Provider Number
260137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/28/2020
Last Recertification Date
9/4/2024
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
1020 McIntosh Cir
STE 203
Joplin, MO 64804-3689
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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