FREMONT SURGICAL CENTER, LLC; NPI #1649489832

Contact Information

FREMONT SURGICAL CENTER, LLC

840 E 29TH STREET
FREMONT, NE 68025

Phone: 402-941-7050
Fax: 402-941-7055
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for FREMONT SURGICAL CENTER, LLC

NPI # 1649489832

LBN Legal business name FREMONT SURGICAL CENTER, LLC

Authorized official STEPHEN HENRY - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2007

Last updated 07/23/2010 - About 16 years ago

Identifiers

NE	License #	ASC052
NE	Medicaid	10025569200

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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