Organization
FREMONT HEALTH
Active
Parent organization
FREMONT HEALTH
Other names
Dunklau Gardens
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
450 E 23RD ST, FREMONT, NE 68025-2387
(402) 727-3795
(402) 727-3333
Mailing address
450 E 23RD ST, FREMONT, NE 68025-2387
(402) 721-1610
(402) 727-3433
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTCH011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00251
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/05/2006
Last updated
01/25/2015
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