FREMONT MEDICAL CENTER, PLLC
NPI 1043931637
Clinic/Center in Saint Anthony, ID

Active since September 12, 2022
30 W MAIN ST, SAINT ANTHONY, ID 83445(208) 624-2969 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2022, Sep 12, 2022 (2 updates tracked since 2022).

About Fremont Medical Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREMONT MEDICAL CENTER, PLLC (NPI 1043931637) is a healthcare organization registered as a clinic/center in Saint Anthony, Idaho and active in the NPI registry since September 2022. The organization lists Jamie Gudmunson, Owner/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1043931637
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFREMONT MEDICAL CENTER, PLLC
Location Address30 W MAIN STSaint Anthony, ID 83445-2113
Mailing Address30 W Main StSaint Anthony, ID 83445-2113 · (208) 624-2969
Organization SubpartNo
Authorized OfficialJamie GudmunsonOwner/ Nurse Practitioner · (208) 624-2969
Enumeration DateSeptember 12, 2022
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
NPI 1043931637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

30 W MAIN ST, Saint Anthony, ID 83445

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
30 W MAIN ST
SAINT ANTHONY, ID 83445
Social Worker (Clinical)
30 W MAIN ST
SAINT ANTHONY, ID 83445
Nurse Practitioner (Family)
30 W MAIN ST
SAINT ANTHONY, ID 83445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fremont Medical Center, PLLC's NPI number?

The NPI number for Fremont Medical Center, PLLC is 1043931637. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Fremont Medical Center, PLLC located?

Fremont Medical Center, PLLC is located at 30 W Main St, Saint Anthony, ID 83445. The listed phone number is (208) 624-2969.

What is Fremont Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Fremont Medical Center, PLLC accept?

Health plans from University of Utah Health Plans list Fremont Medical Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fremont Medical Center, PLLC was last updated on December 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.