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BEACOM FAMILY HEALTH CONNECTION LLC NPI 1003119108


NPI Information

NPI: 1003119108
Provider Name: BEACOM FAMILY HEALTH CONNECTION, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D2017393

Address:
1625 E MILITARY AVE
FREMONT, NE
ZIP 68025
Phone: (402) 721-8830
Get Directions

BEACOM FAMILY HEALTH CONNECTION, LLC is a family medicine in Fremont, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEACOM FAMILY HEALTH CONNECTION, LLC NPI is 1003119108. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1625 E MILITARY AVE
FREMONT, NE
ZIP 68025-463
Phone: (402) 721-8830
Fax: (402) 721-8840

The provider's authorized official is Susan Schlecht .
The authorized official title is Office Manager and has the following contact phone number (402) 721-8830.

The CLIA number assigned to this NPI record is 28D2017393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2010 and was last updated on 3/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine21469NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H43561MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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