Organization · NPI-2

Fremont Health Clinic

Family Medicine · Fremont, NE

NPI number1003338658

StatusActive

Last updated in NPPESJul 14, 2017

Details

NPI: 1003338658
Entity type: Organization (NPI-2)
Legal business name: Fremont Health Clinic
Organization subpart: Yes
Enumeration date: Jul 14, 2017
Last updated: Jul 14, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Other names

Fremont Health Primary Care, Pcmh (Doing Business As)

Practice location

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309

Phone 402-727-1091 · Fax 402-727-7628

Mailing address

2540 N Healthy Way
Fremont, NE 68025-2315

Phone 402-727-1091 · Fax 402-727-7628

Authorized official

Brett M Richmond
President
4027271610

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