# FREMONT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREMONT HEALTH
- **Other names:** Dunklau Gardens
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750320859
- **Legal business name:** FREMONT HEALTH
- **Authorized official:** MR. PATRICK M BOOTH (PRESIDENT/CEO)
- **Authorized official phone:** (402) 721-1610

## Contact information

- **Practice address:** 450 E 23RD ST, FREMONT, NE 68025-2387
- **Practice address phone:** (402) 727-3795
- **Practice address fax:** (402) 727-3333
- **Mailing address:** 450 E 23RD ST, FREMONT, NE 68025-2387
- **Mailing address phone:** (402) 721-1610
- **Mailing address fax:** (402) 727-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | LTCH011 | NE | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 01/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00251 | BLUE CROSS BLUE SHIELD | NE |