Provider Demographics
NPI:1679607428
Name:CHILDREN'S HOSPITAL
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR - REIMB & MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNA
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, MS, FHFMA
Authorized Official - Phone:402-955-6775
Mailing Address - Street 1:CHILDREN'S HOSPITAL
Mailing Address - Street 2:8200 DODGE STREET
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL - URGENT CARE - EAGLE RUN
Practice Address - Street 2:13808 WEST MAPLE ROAD
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6231
Practice Address - Country:US
Practice Address - Phone:402-955-3600
Practice Address - Fax:402-955-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NED02979OtherBCBS
283691OtherCOVENTRY
NE6600201Medicaid
=========68164A001OtherTRICARE
NE=========-34Medicaid
NED02979OtherBCBS