| Organization Name: | FREMONT HEALTH |
| NPI Number: | 1306193644 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK M BOOTH (PRESIDENT/CEO) |
| Mailing Address: | 450 E 23rd St Fremont |
| State: | NE US |
| Postal Code: | 680252303 |
| Phone Number: | 4027211610 |
| Fax Number: | 4027273433 |
| NPI Enumeration Date: | 08/06/2012 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOSPICE 9 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |