# FREMONT HEALTH CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREMONT HEALTH CLINIC
- **Other names:** FREMONT HEALTH PRIMARY CARE, PCMH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003338658
- **Legal business name:** FREMONT HEALTH CLINIC
- **Authorized official:** MR. BRETT M RICHMOND (PRESIDENT)
- **Authorized official phone:** (402) 727-1610

## Contact information

- **Practice address:** 680 E FREMONT MEDICAL PARK DR, FREMONT, NE 68025-2309
- **Practice address phone:** (402) 727-1091
- **Practice address fax:** (402) 727-7628
- **Mailing address:** 2540 N HEALTHY WAY, FREMONT, NE 68025-2315
- **Mailing address phone:** (402) 727-1091
- **Mailing address fax:** (402) 727-7628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/14/2017
- **Last updated:** 07/14/2017