CCN: 285103 NPI: 1538546379 Organization

PREMIER ESTATES OF FREMONT, LLC

2550 N NYE AVE
FREMONT, NE 680252242

Contact Information

Phone 4027271701
Fax 4027271619
Enumeration Date 2015-04-30
Last Updated 2015-10-10

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 28

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0043211479

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 28

providerType 38

specialPaymentIndicator

carrierCode 05402

localityCode 00