Healthcare Provider Details

I. General information

NPI: 1245346741
Provider Name (Legal Business Name): BHC FREMONT HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39001 SUNDALE DR
FREMONT CA
94538-2005
US

IV. Provider business mailing address

39001 SUNDALE DR
FREMONT CA
94538-2005
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-1100
  • Fax: 510-574-4801
Mailing address:
  • Phone: 510-796-1100
  • Fax: 510-574-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number140000347
License Number StateCA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SRVP CFO
Credential:
Phone: 610-768-3300