NEBRASKA NATIONAL GUARD
NPI 1215022017
Clinic/Center - Military Outpatient Operational (Transportable) Component in Lincoln, NE

Active since October 04, 2006
2400 NW 24TH ST, LINCOLN, NE 68524(402) 309-1497 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nebraska National Guard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEBRASKA NATIONAL GUARD (NPI 1215022017) is a healthcare organization registered as a military outpatient operational (transportable) component in Lincoln, Nebraska and active in the NPI registry since October 2006. The organization lists Samantha S Keech, Deputy State Surgeon, as its authorized official.

NPPES Registry Identity

NPI1215022017
Entity TypeOrganization
Primary Taxonomy261QM1102X
Legal Business NameNEBRASKA NATIONAL GUARD
Location Address2400 NW 24TH STLincoln, NE 68524-1892
Mailing Address6905 Whitewater LnLincoln, NE 68521-8998 · (402) 476-7944
Organization SubpartNo
Authorized OfficialSamantha S KeechDeputy State Surgeon · (402) 476-7944
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1215022017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military Outpatient Operational (Transportable) ComponentAmbulatory Health Care Facilities
Taxonomy Code261QM1102X
License Licensed in NE · 57319
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.
2400 NW 24TH ST, Lincoln, NE 68524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nebraska National Guard's NPI number?

The NPI number for Nebraska National Guard is 1215022017. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Nebraska National Guard located?

Nebraska National Guard is located at 2400 NW 24th St, Lincoln, NE 68524. The listed phone number is (402) 309-1497.

What is Nebraska National Guard's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military Outpatient Operational (Transportable) Component, with taxonomy code 261QM1102X.

When was this NPI record last updated?

The NPPES record for Nebraska National Guard was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.