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Contact Information

BARRETT CLINIC PC
8074 S 84TH ST
LA VISTA, NE68128-3303
 Phone: 402-991-9500
 Fax: 402-991-9564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BARRETT CLINIC PC

NPI Number 1215340096
LBN Legal business name BARRETT CLINIC PC
Authorized official MITCHELL BARRETT - (CEO/OWNER/FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2014
Last updated 11/01/2023 - About 3 years ago
Identifiers
NE Medicaid 10026518601
NE Other 110993 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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