Provider Demographics
NPI:1679500276
Name:STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
Entity Type:Organization
Organization Name:STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
Other - Org Name:UNL-BARKLEY SPEECH LANGUAGE AND HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-472-5492
Mailing Address - Street 1:253 BARKLEY MEMORIAL CENTER
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0731
Mailing Address - Country:US
Mailing Address - Phone:402-472-2068
Mailing Address - Fax:
Practice Address - Street 1:253 BARKLEY MEMORIAL CENTER
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0731
Practice Address - Country:US
Practice Address - Phone:402-472-2068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-49Medicaid
NE=========-083OtherBCBS
NE=========-64Medicaid
NE=========-64Medicaid