Freedom Health Care Medical Company, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FREEDOM HEALTH CARE MEDICAL COMPANY, PLLC

Practice address

1097 N Rosario St
Suite 101
Meridian, ID 83642-8004

Phone

(208) 884-3387

Fax

(208) 895-0250

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Nelson, M.D.NPI 1619961315

Title

Owner

Phone

(801) 946-0294

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey S Nelson, D.O.

  • Family Medicine Physician
  • Sandy, UT
  • NPI 1619961315
  NPD (past) Authorized official

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1801133046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 N ROSARIO ST",
            "address_2": "SUITE 101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428004",
            "telephone_number": "208-340-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 N ROSARIO ST",
            "address_2": "SUITE 101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428004",
            "telephone_number": "208-884-3387",
            "fax_number": "208-895-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTH CARE MEDICAL COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-946-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Franklin, DO
• Leanne Marie Fratti, LPN CST
• Fred Meyer Stores Inc
• Fred Meyer Stores Inc
• Zackary Frederiksen
• Freedom Shuttle Service Inc
• Freedomsong Counseling, LLC
• Autumn M Freeland, PA
• Kaitlin Nikkol Freeman
• Sara Tikker Freeman, RDN, LD, CNSC

• Physical Therapy Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.