Freeman Neosho Hospital
Internal Medicine in Neosho, MO. Organization (NPI-2).
NPI number1083045686
StatusActive
Last updated in NPPESMay 3, 2016
Details
- NPI
- 1083045686
- Entity type
- Organization (NPI-2)
- Legal business name
- Freeman Neosho Hospital
- Organization subpart
- No
- Enumeration date
- Dec 6, 2013
- Last updated
- May 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208600000X | Surgery | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Freeman Neosho Physician Group (Doing Business As)
Practice location
336 S Jefferson StNeosho, MO 64850-1769
Phone 417-347-6605
Mailing address
Po Box 3810Joplin, MO 64803-3810
Phone 417-347-6605
Authorized official
Steven W Graddy
Cfo
4173476678
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