340B Drug Pricing Program Database
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DSH260137BW FREEMAN HEALTH SYSTEM (Active)
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Main Details
Name
FREEMAN HEALTH SYSTEM
Subdivision Name
INSTITUTE FOR PAIN MANAGEMENT - INSTITUTE FOR PAIN MANAGEMENT - SANDERS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260137BW
Medicare Provider Number
260137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/21/2021
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
3333 McIntosh Circle
STE 1
JOPLIN, MO 64804-3600
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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