Freeman-Oak Hill Health System
Organization Active NPI Community/Retail Pharmacy · Neosho, MO
NPI 1194783753 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1194783753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2005030192 (MO)
- Legal business name
- FREEMAN-OAK HILL HEALTH SYSTEM
- Practice address
- 336 S Jefferson St
Neosho, MO 64850-1769 - Phone
- (417) 455-4378
- Fax
- (417) 455-4291
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve W Graddy
- Title
- Cfo
- Phone
- (417) 347-6678
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Freeman Childrens Clini
Locations
336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 2005030192 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 2005030192 | MO | Yes |
Addresses
Primary practice location
336 S Jefferson St
Neosho, MO 64850-1769
Mailing address
336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600323802 | Medicaid | MO |
Other names
- QuickMeds Pharmacy - Neosho
Other providers in Neosho, MO
- Freeman Neosho Hospital
- Freeman Neosho Hospital
- Freeman Neosho Hospital
- Freeman Neosho Hospital
- Freeman-Oak Hill Health System
- Freeman-Oak Hill Health System
- Mackenzie Freeman
- Kristen Dae Freer
- Krystal Frossard
- Karen Sue Gallemore
All providers in Neosho, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.