Organization · NPI-2

Fremont Health

Emergency Medicine · Fremont, NE

NPI number1881633592
StatusActive
Last updated in NPPESJan 25, 2015

Details

NPI
1881633592
Entity type
Organization (NPI-2)
Legal business name
Fremont Health
Organization subpart
Yes
Enumeration date
Jun 6, 2006
Last updated
Jan 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes
133V00000X Dietitian, Registered––
207RI0200X Internal Medicine, Infectious Disease––
207QH0002X Family Medicine, Hospice and Palliative Medicine––
207R00000X Internal Medicine––
207Q00000X Family Medicine––

Other names

  • Fremont Health Medical Center (Doing Business As)

Practice location

450 E 23rd St
Fremont, NE 68025-2387

Phone 402-721-1610 · Fax 402-727-3433

Mailing address

450 E 23rd St
Fremont, NE 68025-2387

Phone 402-721-1610 · Fax 402-727-3433

Authorized official

Patrick M Booth
President/Ceo
4027211610

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