NPIMap

Organization Active NPI

Freeman Fort Scott Hospital Inc

Doing business as Freeman Fort Scott Hospital

  • General Acute Care Hospital
  • Fort Scott, KS
National Provider Identifier
1205654076
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
FREEMAN FORT SCOTT HOSPITAL INC
Doing business as
Freeman Fort Scott Hospital
Practice address
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone
(417) 347-1111
NPI assigned
Oct 1, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven W Graddy
Title
Cfo
Phone
(417) 347-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

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 1

  • FREEMAN FORT SCOTT HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812002603 KS Part A Provider - Hospital 2668970385 Practice locations: Fort Scott, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205654076. Details of each certification follow.

Hospital certification: CCN 170210

Legal name
FREEMAN FORT SCOTT HOSPITAL INC
Doing business as
FREEMAN FORT SCOTT HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Freeman Fort Scott Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Leesa Apfelbaum Individual W-2 Managing Employee Jul 27, 2025
Henrique Gebara Individual Corporate Director Jul 27, 2025
Renee Denton Individual W-2 Managing EmployeeAd; Jul 27, 2025
Operational/Managerial ControlAdministrative Services Director Jul 27, 2025
Jay Leek Individual Corporate Director Jul 27, 2025
Mark L Brown Individual Corporate Director Jul 27, 2025
Lindsay Madison Individual Corporate Director Jul 27, 2025
Jeffery Thompson Individual Corporate OfficerChief Clinical Officer Jul 27, 2025
Gregg Motley Individual Corporate Director Jul 27, 2025
Matthew W Fry Individual Corporate OfficerPresident & Ceo Jul 27, 2025
Corporate DirectorPresident & Ceo Jul 27, 2025
Operational/Managerial ControlPresident & Ceo Jul 27, 2025
Steven W Graddy Individual Corporate OfficerCfo Jul 27, 2025
W-2 Managing EmployeeCfo Jul 27, 2025
Katrina Richards Individual Corporate OfficerChief Legal Officer Jul 27, 2025
Don Doherty Individual Corporate DirectorDirector Jul 27, 2025
Amanda M Harrell Individual Corporate OfficerCmo Jul 27, 2025
Michael Wardlow Individual Corporate OfficerCompliance/Privacy Offer Jul 27, 2025
Freeman-Oak Hill Health System Organization, Joplin, MO Non-profit, Chain home office Operational/Managerial Control Jul 27, 2025
Michael P Zafuta Individual Corporate Director Jul 27, 2025
Angela Tucker Individual Corporate Director Jul 27, 2025
Anita Walden Individual Corporate OfficerChief Administrative Officer Jul 27, 2025

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1205654076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "417-347-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN FORT SCOTT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-347-6678"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEMAN FORT SCOTT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.