Provider Demographics
NPI:1821468018
Name:HEALTHEASE
Entity Type:Organization
Organization Name:HEALTHEASE
Other - Org Name:MITRAX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARIE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:402-260-5332
Mailing Address - Street 1:720 O ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1392
Mailing Address - Country:US
Mailing Address - Phone:855-282-8160
Mailing Address - Fax:
Practice Address - Street 1:720 O ST
Practice Address - Street 2:SUITE E
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1392
Practice Address - Country:US
Practice Address - Phone:855-282-8160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies