Healthcare Provider Details

I. General information

NPI: 1609900323
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOSPITAL - EMERGENCY PHYSICIANS 8200 DODGE STREET
OMAHA NE
68114-4113
US

IV. Provider business mailing address

CHILDREN'S HOSPITAL 8200 DODGE STREET
OMAHA NE
68114-4113
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-5150
  • Fax: 402-955-5151
Mailing address:
  • Phone: 402-955-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY BARNA
Title or Position: DIRECTOR - REIMB & MANAGED CARE
Credential: MPA, MS, FHFMA
Phone: 402-955-6775