Freeman Fort Scott Hospital Inc
Organization Active NPI General Acute Care Hospital · Fort Scott, KS
NPI 1205654076 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1205654076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- FREEMAN FORT SCOTT HOSPITAL INC
- Practice address
- 401 Woodland Hills Blvd
Fort Scott, KS 66701-8797 - Phone
- (417) 347-1111
- NPI assigned
- Oct 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Steven W Graddy
- Title
- Cfo
- Phone
- (417) 347-6678
Owners & managing parties with NPI records 17
-
Michael P Zafuta, MD
-
Amanda Marie Harrell, D.O.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Facilities with the same owner 8
Practitioners 6
-
Trevor Lynn Bond, D.O.
-
Joseph Michel Meier, M.D.
-
Michael Eastman, D.O.
Affiliated clinicians 18
-
Trevor Lynn Bond, D.O.
-
Katrina M. Burke, M.D.
-
Pankaj Gugnani, M.D.
-
Ricky Kellenberger, D.O
-
Boban N Mathew, M.D.
-
Joseph Michel Meier, M.D.
-
John D Taylor, MD
-
Michael Eastman, D.O.
-
Enock Elie Faustin, M.D
-
David A Seidl, MD
-
Jane Seto, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Hospital certification: CCN 170210
- Legal name
- FREEMAN FORT SCOTT HOSPITAL INC
- Doing business as
- FREEMAN FORT SCOTT HOSPITAL
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 401 Woodland Hills Blvd
Fort Scott, KS 66701-8797 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Leesa Apfelbaum |
W-2 Managing Employee | Jul 27, 2025 | |
| Henrique Gebara |
Corporate Director | Jul 27, 2025 | |
| Renee Denton |
W-2 Managing Employee |
Jul 27, 2025 | |
| Operational/Managerial Control |
Jul 27, 2025 | ||
| Jay Leek |
Corporate Director | Jul 27, 2025 | |
| Mark L Brown |
Corporate Director | Jul 27, 2025 | |
| Lindsay Madison |
Corporate Director | Jul 27, 2025 | |
| Jeffery Thompson |
Corporate Officer |
Jul 27, 2025 | |
| Gregg Motley |
Corporate Director | Jul 27, 2025 | |
| Matthew W Fry |
Corporate Officer |
Jul 27, 2025 | |
| Corporate Director |
Jul 27, 2025 | ||
| Operational/Managerial Control |
Jul 27, 2025 | ||
| Steven W Graddy |
Corporate Officer |
Jul 27, 2025 | |
| W-2 Managing Employee |
Jul 27, 2025 | ||
| Katrina Richards |
Corporate Officer |
Jul 27, 2025 | |
| Don Doherty |
Corporate Director |
Jul 27, 2025 | |
| Amanda M Harrell |
Corporate Officer |
Jul 27, 2025 | |
| Michael Wardlow |
Corporate Officer |
Jul 27, 2025 | |
| Freeman-Oak Hill Health System |
Operational/Managerial Control | Jul 27, 2025 | |
| Michael P Zafuta |
Corporate Director | Jul 27, 2025 | |
| Angela Tucker |
Corporate Director | Jul 27, 2025 | |
| Anita Walden |
Corporate Officer |
Jul 27, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250812002603 | KS | Part a Provider - Hospital | 2668970385 | Practice locations: Fort Scott, KS |
National Provider Directory
- Tax ID family
- Freeman Fort Scott Hosp Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Mailing address
1102 W 32ND St
Joplin, MO 64804-3503
Phone (417) 347-1111
Other names
- FREEMAN FORT SCOTT HOSPITAL
Other providers in Fort Scott, KS
- Destiny Denise Foulk
- Foxx Apothecary, Inc
- W. J. Bryan Foxx, II
- Franklin House
- Franklinhouse
- Freeman Fort Scott Hospital Inc
- Freeman Fort Scott Hospital Inc
- Ft Scott Eye Center P.a.
- Ft Scott Eye Center P.a.
- Ft Scott Surgery Center LLC
All providers in Fort Scott, KS · General Acute Care Hospital in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.