Provider Demographics
NPI:1396700621
Name:FREEMAN-OAK HILL HEALTH SYSTEM
Entity type:Organization
Organization Name:FREEMAN-OAK HILL HEALTH SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR OF DURABLE MEDICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-347-7400
Mailing Address - Street 1:1130 E 32ND ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4002
Mailing Address - Country:US
Mailing Address - Phone:417-347-7400
Mailing Address - Fax:417-347-7447
Practice Address - Street 1:1130 E 32ND ST
Practice Address - Street 2:SUITE F
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4002
Practice Address - Country:US
Practice Address - Phone:417-623-0166
Practice Address - Fax:417-347-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100441920AMedicaid
MO620565200Medicaid
OK100693570IMedicaid
MO620565200Medicaid