Organization Active NPI

Fremont Health

Doing business as Fremont Health Medical Center

  • Rural Acute Care Hospital
  • Fremont, NE
National Provider Identifier
1821037938
Registry record updated Jan 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
250001 Issued in NE
Legal business name
FREMONT HEALTH
Doing business as
Fremont Health Medical Center
Practice address
450 E 23Rd St
Fremont, NE 68025-2387
Phone
(402) 721-1610
Fax
(402) 727-3433
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2015

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
Rural Acute Care Hospital 282NR1301X 250001 NE Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025-2387

Mailing address

450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610

Other identifiers 1

IdentifierTypeStateIssuer
0069OtherNEBLUE CROSS BLUE SHIELD

Other names 1

  • Fremont Health Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422144000000",
    "number": "1821037938",
    "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": "680252387",
            "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": "680252387",
            "telephone_number": "402-721-1610",
            "fax_number": "402-727-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-01-25",
        "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": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NE",
            "license": "250001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0069",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2015; 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.