Organization · NPI-2

Beacom Family Health Connection, LLC

Family Medicine · Fremont, NE

NPI number1003119108
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1003119108
Entity type
Organization (NPI-2)
Legal business name
Beacom Family Health Connection, LLC
Organization subpart
No
Enumeration date
Dec 10, 2010
Certification date
Oct 24, 2022
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine21469NEYes

Practice location

1625 E Military Ave
Fremont, NE 68025-5463

Phone 402-721-8830 · Fax 402-721-8840

Mailing address

1625 E Military Ave
Fremont, NE 68025-5463

Phone 402-721-8830 · Fax 402-721-8840

Authorized official

Susan Schlecht
Office Manager
4027218830

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