METHODIST FREMONT HEALTH (NPI# 1982183968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982183968 |
| Entity Type | Organization |
| Organization Name | METHODIST FREMONT HEALTH |
| Other Organization Name | DUNKLAU GARDENS |
| Practice Address |
450 E 23rd St Fremont NE 68025-2387 |
| Practice Telephone | 4027273795 |
| Practice Fax Number | 4027273333 |
| 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 | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DUNKLAU GARDENS | Doing Business As Name - Organization |
| 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 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 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 |
| 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 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 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 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700037926 | Fremont Care Center Inc | Skilled Nursing Facility | 3210 North Clarkson, Fremont, NE 68025 | 2008-10-07 |
| 1487775052 | Ssc Fremont Operating Company LLC | Skilled Nursing Facility | 2550 N Nye Ave, Fremont, NE 68025-2242 | 2007-04-02 |
| 1285781013 | Windsor Convalescent and Rehabilitation Center of Fremont, LLC | Skilled Nursing Facility | 2400 Parkside Dr, Fremont, CA 94536-5332 | 2007-01-04 |
| 1255418364 | Trilogy Healthcare of Sandusky, LLC | Skilled Nursing Facility | 1247 N River Rd, Fremont, OH 43420 | 2006-11-01 |
| 1346333275 | Sky Blue Health Inc Dba Hillside Care Center | Skilled Nursing Facility | 38650 Mission Blvd, Fremont, CA 94536-4391 | 2006-10-02 |
| 1093813016 | Elmwood of Fremont, Ltd. | Skilled Nursing Facility | 1545 Fangboner Rd, Fremont, OH 43420-1128 | 2006-09-21 |
| 1902828403 | Crestwood Behavioral Health Inc | Skilled Nursing Facility | 4303 Stevenson Blvd, Fremont, CA 94538-2645 | 2006-07-24 |
| 1295756526 | Volunteers of America Care Facilities | Skilled Nursing Facility | 600 N Brush St, Fremont, OH 43420-1402 | 2006-07-21 |
| 1124047386 | Helios Healthcare, LLC | Skilled Nursing Facility | 2500 Country Dr, Fremont, CA 94536-5356 | 2006-07-19 |
| 1942228838 | Crestwood Behavioral Health, Inc. | Skilled Nursing Facility | 2171 Mowry Ave, Fremont, CA 94538-1717 | 2006-07-18 |
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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.