NPIMap

Organization Active NPI

Nebraska National Guard

  • Military Outpatient Operational (Transportable) Component Clinic/Center
  • Lincoln, NE
National Provider Identifier
1215022017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X
License
57319 Issued in NE
Legal business name
NEBRASKA NATIONAL GUARD
Practice address
2400 NW 24TH St
Lincoln, NE 68524-1892
Phone
(402) 309-1497
NPI assigned
Oct 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Samantha S Keech, RN
Title
Deputy State Surgeon
Phone
(402) 476-7944

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

2400 NW 24th St
Lincoln, NE 68524
Phone (402) 309-1497

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X 57319 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

2400 NW 24TH St
Lincoln, NE 68524-1892

Mailing address

6905 Whitewater LN
Lincoln, NE 68521-8998
Phone (402) 476-7944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215022017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 WHITEWATER LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685218998",
            "telephone_number": "402-476-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW 24TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685241892",
            "telephone_number": "402-309-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA NATIONAL GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEECH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DEPUTY STATE SURGEON",
        "authorized_official_telephone_number": "402-476-7944",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "NE",
            "license": "57319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.