Organization
FREMONT HEALTH
Active
Parent organization
FREMONT HEALTH
Other names
Fremont Cardiovascular Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREMONT HEALTH
Authorized official
MR. PATRICK M BOOTH (PRESIDENT/CEO)
(402) 721-1610
Entity
Organization
Contact information
Practice address
426 EAST 22ND STREET, SUITE 100, FREMONT, NE 68025-2633
(402) 727-7796
(402) 727-9574
Mailing address
426 E 22ND STREET, SUITE 100, FREMONT, NE 68025-2633
(402) 727-7796
(402) 727-9574
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/27/2010
Last updated
08/26/2014
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