Provider Demographics
NPI:1194972869
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:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-347-7417
Mailing Address - Street 1:1532 W 32ND ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1607
Mailing Address - Country:US
Mailing Address - Phone:417-347-7465
Mailing Address - Fax:417-347-6465
Practice Address - Street 1:1532 W 32ND ST
Practice Address - Street 2:SUITE 102
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1607
Practice Address - Country:US
Practice Address - Phone:417-347-7465
Practice Address - Fax:417-347-6465
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEMAN HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-25
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1194972869Medicaid
OK100693570Medicaid
OK100693570Medicaid