Provider Demographics
NPI:1386040467
Name:BARNABAS HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BARNABAS HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-261-7000
Mailing Address - Street 1:1303 JASMINE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-2992
Mailing Address - Country:US
Mailing Address - Phone:904-261-7000
Mailing Address - Fax:904-261-8899
Practice Address - Street 1:1303 JASMINE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-2992
Practice Address - Country:US
Practice Address - Phone:904-261-7000
Practice Address - Fax:904-261-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty