Beacom Family Health Connection, Llc

NPI 1003119108 - Family Medicine - 207Q00000X

NPI Details
NPI 1003119108
Enumeration Date 12/10/2010
Last Updated 03/26/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SUSAN SUSAN
Position OFFICE MANAGER
Phone (402) 721-8830
Fax (402) 721-8840
Practice Location
1625 E MILITARY AVE
FREMONT NE, 68025-5463, US
Phone (402) 721-8830
Fax (402) 721-8840
Business Location
1625 E MILITARY AVE
FREMONT NE, 68025-5463, US
Phone (402) 721-8830
Fax (402) 721-8840
Toxanomy
Taxonomy Code 207Q00000X
License State Nebraska
License Number 21469
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According to our database, Beacom Family Health Connection, Llc NPI is 1003119108, taxonomy code is 207Q00000X and license number is 21469, license state is located at Nebraska. Beacom Family Health Connection, Llc physically located at 1625 E Military Ave, Fremont NE, 68025-5463. NPI Number 1033115704 has the healthcare provider type.

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1003119108 NPI number is provided on an as is basis without warranty of any kind. 1003119108 is maintained by the National Plan & Provider Enumeration System. The contents of Beacom Family Health Connection, Llc are for informational purposes only.