METHODIST FREMONT HEALTH (NPI# 1144709122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144709122 |
Entity Type | Organization |
Organization Name | METHODIST FREMONT HEALTH |
Practice Address |
450 E 23rd St Fremont NE 68025-2387 |
Practice Telephone | 4029417850 |
Practice Fax Number | 7027273433 |
Mailing Telephone | 4027211610 |
Mailing Fax Number | 4027273433 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-12-17 |
Authorized Official Name | BRETT M RICHMOND (PRESIDENT & CEO) |
Authorized Official Telephone | 4027211610 |
Is Organization Subpart | Y |
Parent Organization Name | METHODIST FREMONT HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
1245719228 | Methodist Fremont Health | Hospice Care, Community Based | 2400 N Lincoln Ave Ste B, Fremont, NE 68025-2443 | 2018-08-09 |
1144798729 | Methodist Fremont Health | Pharmacy | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-11-13 |
1235618216 | Methodist Fremont Health | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
1619456696 | Methodist Fremont Health | Home Health | 2400 N Lincoln Ave Ste B, Fremont, NE 68025-2443 | 2018-08-09 |
1982183968 | Methodist Fremont Health | Skilled Nursing Facility | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
1033698543 | Methodist Fremont Health | General Acute Care Hospital | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | METHODIST FREMONT HEALTH | 450 E 23rd St, Fremont, NE 68025-2303 |
Street Address |
450 E 23RD ST |
City | FREMONT |
State | NE |
Zip Code | 68025-2387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326048927 | Muhammad S Haroon | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2303 | 2005-07-26 |
1215552161 | Megan Grote | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-06-16 |
1104465491 | Jacqueline M Stanzel | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-01-03 |
1972147908 | Samantha Bauer | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-11-02 |
1699322529 | Chelsea A Hamzhie | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-26 |
1366097610 | Rachael Nicole Bruechert | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-05 |
1316590326 | Amanda N Berkland | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-07-18 |
1144798729 | Methodist Fremont Health | Pharmacy | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-11-13 |
1235618216 | Methodist Fremont Health | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
1982183968 | Methodist Fremont Health | Skilled Nursing Facility | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396969499 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 415 S 25th Ave, Omaha, NE 68131-3654 | 2007-04-12 |
1386712925 | Nebraska Medical Center | Psychiatric Unit | 987400 Nebraska Medical Ctr Fl 7, 7th Floor Uh (7psy), Omaha, NE 68198-7400 | 2006-12-01 |
1073599189 | Crane River Clinic | Psychiatric Unit | 3280 Woodridge Blvd, Suite 260, Grand Island, NE 68801-7481 | 2005-12-20 |
1457745119 | Fillmore County Hospital | Psychiatric Unit | 1900 F St, Geneva, NE 68361-2229 | 2015-03-20 |
1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
1518091230 | Children's Hospital | Psychiatric Unit | 8200 Dodge St, Children's Hospital - Eating Disorders Program, Omaha, NE 68114-4113 | 2007-03-15 |
1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
1134216773 | Bryan Medical Center | Psychiatric Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-06 |
1568570745 | The Mary Lanning Memorial Hospital Association | Psychiatric Unit | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 2006-08-28 |
1871606137 | Regional West Medical Center | Psychiatric Unit | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.