Healthcare Provider Details

I. General information

NPI: 1760506331
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

CHILDREN'S SPECIALTY PHYSICIAN BILLING PO BOX 24607
OMAHA NE
68124
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 TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics 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