Organization · NPI-2

Fremont Health Clinic

Family Medicine · Fremont, NE

NPI number1376189506

StatusActive

Last updated in NPPESNov 22, 2019

Details

NPI: 1376189506
Entity type: Organization (NPI-2)
Legal business name: Fremont Health Clinic
Organization subpart: Yes
Enumeration date: Nov 22, 2019
Last updated: Nov 22, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
101Y00000X	Counselor	–	–
363L00000X	Nurse Practitioner	–	–
363A00000X	Physician Assistant	–	–

Other names

Methodist Physicians Clinic Prairie Fields (Doing Business As)

Practice location

350 W 23rd St
Fremont, NE 68025-2592

Phone 402-721-7077

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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