| Beacom Family Health Connection, Llc | |
|
1625 E Military Ave Fremont NE 68025-5463 | |
| (402) 721-8830 | |
| (402) 721-8840 |
| Full Name | Beacom Family Health Connection, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1625 E Military Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Susan Schlecht (OFFICE MANAGER) |
| Authorized Official Contact | 4027218830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacom Family Health Connection, Llc 1625 E Military Ave Fremont NE 68025-5463 Ph: (402) 721-8830 | Beacom Family Health Connection, Llc 1625 E Military Ave Fremont NE 68025-5463 Ph: (402) 721-8830 |
| NPI Number | 1003119108 |
|---|---|
| Provider Enumeration Date | 12/10/2010 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 8820286479 |
|---|---|
| Medicare Enrollment ID | O20101223000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003119108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21469 (Nebraska) | Primary |
| Provider Name | Matthew A Beacom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568476679 PECOS PAC ID: 8820036908 Enrollment ID: I20050420001164 |
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