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Freeman Neosho Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Neosho, MO

NPI 1689782872 · NPPES record last updated Oct 15, 2009

Key facts

NPI
1689782872
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 16

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 4

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

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

Facilities with the same owner 8

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

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Affiliated clinicians 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Hospital certification: CCN 26Z331

Legal name
FREEMAN NEOSHO HOSPITAL
Doing business as
FREEMAN NEOSHO HOSPITAL
Organization structure
Corporation · Non-profit
Incorporated
Dec 28, 1993 in MO
Enrollment address
113 W Hickory St
Neosho, MO 64850-1705

All disclosed owners & managing parties 11

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
Renee Denton
Individual 		W-2 Managing Employee
Director Admin Services		 Sep 24, 2012
Operational/Managerial Control
Director Admin Services		 Sep 24, 2012
Gary Wasson
Individual 		Corporate Director Jan 1, 2009
Steven W Graddy
Individual 		Corporate Officer
Cfo		 Nov 1, 2007
Rudy Farber
Individual 		Corporate Director Oct 5, 2005
Kevin Gaudette
Individual 		Corporate Director Oct 5, 2005
Paula Baker
Individual 		Corporate Director
President and Ceo		 Jan 1, 2012
Operational/Managerial Control
President and Ceo		 Jan 1, 2012
Freeman-Oak Hill Health System
Organization · Joplin, MO
Non-profit 		Operational/Managerial Control Jul 1, 2013
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

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 Group
Neosho, MO · CCN 268722		 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2014
Freeman Clinic of Anderson
Anderson, MO · CCN 268773		 Rural health clinic Operational/Managerial Control (100%) Jul 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080602000221 MO Part a Provider - Critical Access Hospital 4284624552 Practice locations: Neosho, MO

National Provider Directory

Tax ID family
Danette L Bowles MD (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Yes
Critical Access Hospital 282NC0060X

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 providers in Neosho, MO

All providers in Neosho, MO · Medicare Defined Swing Bed Hospital Unit in Missouri

Sources for this page

Verify at the official NPI Registry.