# FREMONT HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREMONT HEALTH CLINIC
- **Other names:** METHODIST PHYSICIANS CLINIC PRAIRIE FIELDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376189506
- **Legal business name:** FREMONT HEALTH CLINIC
- **Authorized official:** BRETT M RICHMOND (PRESIDENT)
- **Authorized official phone:** (402) 727-1610

## Contact information

- **Practice address:** 350 W 23RD ST, FREMONT, NE 68025-2592
- **Practice address phone:** (402) 721-7077
- **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 |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 11/22/2019