NPIMap

Organization Active NPI

Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
National Provider Identifier
1598873796
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
FREEMAN NEOSHO HOSPITAL
Practice address
113 W Hickory St
Neosho, MO 64850-1705
Phone
(417) 347-1234
Fax
(417) 347-0702
NPI assigned
Aug 28, 2006
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Steve W Graddy
Title
Cfo
Phone
(417) 347-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

113 W Hickory St
Neosho, MO 64850-1705

Mailing address

1102 West 32ND Street
Joplin, MO 64804
Phone (417) 347-1111

Other identifiers 7

IdentifierTypeStateIssuer
010323806MedicaidMO
32066OtherMOBLUE CHOICE
540323805OtherMOMEDICAID
241760OtherHEALTHLINK
200266700AOtherKSMEDICAID
32162OtherMOBLUE CROSS BLUE SHIELD
100712780FOtherOKMEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000391 MO Part A Provider - Critical Access Hospital 4284624552 Receives reassigned benefits from 63 practitioners
Practice locations: Neosho, MO; Anderson, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598873796. Details of each certification follow.

Hospital certification: CCN 261331

Legal name
FREEMAN NEOSHO HOSPITAL
Doing business as
FREEMAN NEOSHO HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 5, 2005
Last certification
Aug 9, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
113 W Hickory St
Neosho, MO 64850-1705

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Freeman Neosho HospitalCCN 261331 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Herbert L McDonald MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 17

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 Jun 17, 2009
Justin J Dillingham Individual Corporate Director Apr 1, 2023
Renee Denton Individual W-2 Managing EmployeeAdministrative Services Director Sep 24, 2012
Operational/Managerial ControlAdministrative Services Director Sep 24, 2012
Gary Wasson Individual Corporate Director Jan 1, 2009
Jeffery Thompson Individual Corporate OfficerCco Feb 15, 2021
Matthew W Fry Individual Corporate Officer Apr 11, 2025
Steven W Graddy Individual Corporate OfficerCfo Nov 1, 2007
W-2 Managing EmployeeCfo Nov 1, 2007
Rudy Farber Individual Corporate Director Oct 5, 2005
Amanda M Harrell Individual Corporate OfficerCmo Dec 1, 2024
Brady G Hesington Individual Corporate Director Jul 11, 2025
Kent Farnsworth Individual Corporate Director Jul 11, 2025
Jason L Maxfield Individual Corporate Director Jan 1, 2025
Freeman-Oak Hill Health System Organization, Joplin, MO Non-profit Operational/Managerial Control Apr 1, 2006
James Armstrong Individual Corporate Director Jul 11, 2025
Mitch McCumber Individual Corporate Director Oct 5, 2005
Craig L Pendergrass Individual Corporate Director Oct 5, 2005
Larry G Barnes Individual Corporate Director Oct 5, 2005

Owners & managing parties with NPI records 20

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

View all 20

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Freeman Neosho Physician GroupNeosho, MO, CCN 268722 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2014
Freeman Clinic of AndersonAnderson, MO, CCN 268773 Rural health clinic Operational/Managerial Control (100%) Jul 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

Affiliated clinicians 127

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

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1598873796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WEST 32ND STREET",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-347-1111",
            "fax_number": "417-347-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501705",
            "telephone_number": "417-347-1234",
            "fax_number": "417-347-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN NEOSHO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-347-6678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010323806",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "32066",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "540323805",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "241760",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200266700A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32162",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100712780F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.