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Contact Information

FREMONT WOMEN'S HEALTH, LLC
3196 S MARYLAND PKWY
SUITE 303
LAS VEGAS, NV89109-2305
 Phone: 702-383-2919
 Fax: 702-383-2886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sonography Radiologic Technologist

2471S1302X
Indicates primary specialty

NPI Profile & details for FREMONT WOMEN'S HEALTH, LLC

NPI # 1255318648
LBN Legal business name FREMONT WOMEN'S HEALTH, LLC
Authorized official JON GRIFFIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2005
Last updated 01/15/2009 - About 17 years ago
Identifiers
NV Medicaid 100501006
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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