Healthcare Provider Details

I. General information

NPI: 1013040369
Provider Name (Legal Business Name): CHILDREN'S SPECIALTY PHYSICIAN BILLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

PO BOX 24607 CHILDREN'S SPECIALTY PHYSICIAN BILLING
OMAHA NE
68124-0607
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-6928
  • Fax: 402-955-6900
Mailing address:
  • Phone: 402-955-6928
  • Fax: 402-955-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NANCY BARNA
Title or Position: INTERNAL AUDIT MANAGER
Credential: MPA, MS, FHFMA
Phone: 402-955-6775