Organization · Type 2 NPI
Nebraska National Guard
Military Outpatient Operational (Transportable) Component Clinic/Center · Lincoln, NE
Practice location
2400 NW 24th St
Lincoln, NE 68524-1892
Mailing address
6905 Whitewater Ln
Lincoln, NE 68521-8998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Outpatient Operational (Transportable) Component Clinic/Center Primary | 261QM1102X | 57319 (NE) |
Military Outpatient Operational (Transportable) Component Clinic/Center: "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort…
About NPI 1215022017
Nebraska National Guard's National Provider Identifier is 1215022017, issued on Oct 4, 2006. The primary taxonomy on file is Military Outpatient Operational (Transportable) Component Clinic/Center (261QM1102X), and the practice location is in Lincoln, NE. The record was last updated on Aug 22, 2020.