Organization
FREMONT SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P HENRY (ADMINISTRATOR)
(402) 941-7050
Entity
Organization
Contact information
Practice address
840 E 29TH STREET, FREMONT, NE 68025
(402) 941-7050
(402) 941-7055
Mailing address
840 E 29TH STREET, FREMONT, NE 68025
(402) 941-7050
(402) 941-7055
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC052
NE
261QA1903X
Ambulatory Surgical Clinic/Center
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025569200
—
NE
Enumeration date
05/22/2007
Last updated
07/23/2010
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