U.S. Federal Route 59 runs north-south in Eastern Fremont County. This runs along the Fremont/Page County Line. It goes from the Mills/Fremont County Line, near Imogene, to the Iowa/Missouri State Line, northwest of Westboro, Missouri. U.S. Rt. 59 passes through the following town in Fremont County. Shenandoah U.S. Rt. 59 is not multi-plexed in Fremont County. U.S. Rt. 59 intersects the following highways in Fremont County. Iowa State Route 48, at Shenandoah. Iowa State Route 2, at Shenandoah.