1164451746 NPI number — FREEMAN NEOSHO HOSPITAL

Table of content: (NPI 1164451746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164451746 NPI number — FREEMAN NEOSHO HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREEMAN NEOSHO HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164451746
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3930
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOPLIN
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64803-3930
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-347-1078
Provider Business Mailing Address Fax Number:
417-347-1079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 W HICKORY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEOSHO
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64850-1705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-347-1078
Provider Business Practice Location Address Fax Number:
417-347-1079
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KIRK
Authorized Official First Name:
JOE
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
EXECUTIVE VP
Authorized Official Telephone Number:
417-347-1111

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CU0090 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com