Organization
FREMONT HEALTH
Active
Other names
Fremont Health Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK M BOOTH (PRESIDENT/CEO)
(402) 721-1610
Entity
Organization
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 721-1610
(402) 727-3433
Mailing address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 721-1610
(402) 727-3433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81068
BLUE CROSS BLUE SHIELD OF NEBRASKA
NE
Enumeration date
09/11/2008
Last updated
01/25/2015
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