FREMONT PEDIATRIC ADOLESCENT AND YOUNG ADULT MEDICINE LLC. NPI 1558550368

NPI Information

FREMONT PEDIATRIC, ADOLESCENT AND YOUNG ADULT MEDICINE, LLC. is a clinic center in Fremont, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FREMONT PEDIATRIC, ADOLESCENT AND YOUNG ADULT MEDICINE, LLC. NPI is 1558550368. The provider is registered as an organization entity type.
The provider Is Doing Business As Kid Care.

The provider's business location address is:

220 E 22ND ST
FREMONT, NE
ZIP 68025-606
Phone: (402) 727-5500
Fax: (402) 727-6047

The provider's authorized official is Terry N Wooldridge .
The authorized official title is Owner and has the following contact phone number (402) 727-5500.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 8/1/2014.

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:

Other Identifiers

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

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