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Nebraska National Guard
Military Outpatient Operational (Transportable) Component Clinic/Center in Lincoln, Nebraska
NPI 1215022017

Nebraska National Guard is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Lincoln, NE and is specialized in Military Outpatient Operational (Transportable) Component. Nebraska National Guard practices in Lincoln, NE. The NPI Number for Nebraska National Guard is 1215022017 and holds a License No. 57319 (Nebraska).

The current practice location address for Nebraska National Guard is 2400 Nw 24Th St, Lincoln, NE and can be reached out via phone at 402-309-1497. You can also correspond with Nebraska National Guard through the mailing address at 6905 WHITEWATER LN, LINCOLN, NE - 68521-8998 (mailing address contact number: 402-476-7944).

Location: 2400 Nw 24Th St, Lincoln, NE, 68521-8998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215022017
Provider Name
Nebraska National Guard
Credential
Provider Entity Type
Organization
Address
2400 Nw 24Th St, Lincoln, NE, 68521-8998
Phone Number
402-309-1497
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2400 Nw 24Th St
City
Lincoln
State
Nebraska
Zip
68524-1892
Phone Number
402-309-1497
Fax Number
person
Provider Business Mailing Address Details
Address
6905 Whitewater Ln
City
Lincoln
State
Nebraska
Zip
68521-8998
Phone Number
402-476-7944
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
57319 (Nebraska)
Definition
"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 or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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