Organization Active NPI

Fremont Area Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Fremont, NE
National Provider Identifier
1568417244
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREMONT AREA MEDICAL CENTER
Practice address
450 E 23Rd St
Fremont, NE 68025-2303
Phone
(402) 721-1610
Fax
(402) 727-3433
NPI assigned
May 23, 2006
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FREMONT AREA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick M Booth
Title
President/Ceo
Phone
(402) 721-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025-2303

Mailing address

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610

National Provider Directory

National Provider Directory
Tax ID family
Fremont Area Medical Center11 organizations share this tax ID, including this one
Part of
Fremont Area Medical Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1568417244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-721-1610",
            "fax_number": "402-727-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-721-1610",
            "fax_number": "402-727-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT AREA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREMONT AREA MEDICAL CENTER",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-721-1610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.