Healthcare Provider Details

I. General information

NPI: 1245719228
Provider Name (Legal Business Name): METHODIST FREMONT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 N LINCOLN AVE STE B
FREMONT NE
68025-2443
US

IV. Provider business mailing address

450 E 23RD ST
FREMONT NE
68025-2387
US

V. Phone/Fax

Practice location:
  • Phone: 402-941-1699
  • Fax: 402-941-1688
Mailing address:
  • Phone: 402-721-1610
  • Fax: 402-727-3433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRETT M RICHMOND
Title or Position: PRESIDENT & CEO
Credential:
Phone: 402-721-1610