NEBRASKA NATIONAL GUARD (NPI# 1215022017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215022017 |
| Entity Type | Organization |
| Organization Name | NEBRASKA NATIONAL GUARD |
| Practice Address |
2400 Nw 24th St Lincoln NE 68524-1892 |
| Mailing Address |
6905 Whitewater Ln Lincoln NE 68521-8998 |
| Practice Telephone | 4023091497 |
| Mailing Telephone | 4024767944 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAMANTHA S KEECH (DEPUTY STATE SURGEON) |
| Authorized Official Telephone | 4024767944 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1102X |
Clinic/Center Specialization: Military Outpatient Operational (Transportable) Component |
57319 | NE | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEBRASKA NATIONAL GUARD | 2433 Nw 24th St, Lincoln, NE 68524-1801 |
| System for Award Management (SAM) Entities | NEBRASKA NATIONAL GUARD HISTORICAL SOCIETY, INC., THE | 201 N 8th St, Seward, NE 68434-2025 |
| Street Address |
2400 NW 24TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68524-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396037875 | Nebraska Urgent Care Clinic, LLC | Family Medicine | 4720 W Huntington Ave, Lincoln, NE 68524-1528 | 2011-05-03 |
| 1336253897 | Ingrid Olson | Physician Assistant | 3431 Aviation Rd Ste 140, Lincoln, NE 68524-1800 | 2006-08-19 |
| 1770114175 | Marathon Health LLC | Physician Assistant | 3431 Aviation Rd Ste 140, Lincoln, NE 68524-1800 | 2020-02-04 |
| 1679661458 | Brenda Ann Ruhrer | Registered Nurse | 2601 Nw 25th St, Lincoln, NE 68524-1890 | 2006-10-10 |
| 1164054144 | James Lavicky | Specialist/Technologist | 5340 W Aurora St, Lincoln, NE 68524-2159 | 2020-02-07 |
| 1679016604 | Amanda J Kurtenbach | Occupational Therapist | 4200 W Billy Ct, Lincoln, NE 68524-6046 | 2016-11-22 |
| 1942631791 | Connie King | Dental Hygienist | 4101 W Leighton Ave, Lincoln, NE 68524-6051 | 2013-12-04 |
| 1760808943 | Randy Leroy Fox | Pharmacist | 5150 W Fletcher Ave, Lincoln, NE 68524-8957 | 2014-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033245 | Janet Sue Buck | Dietitian, Registered | 4105 Y St, Lincoln, NE 68503-2160 | 2020-11-05 |
| 1588265128 | Therapeutic Solutions, LLC | Social Worker | 16 Lladnar Dr, Lincoln, RI 02865-4013 | 2020-11-02 |
| 1093316556 | Jamie Rose Liebentritt | Social Worker | 2300 S 16th St Ste 201, Lincoln, NE 68502-3704 | 2020-11-02 |
| 1346840154 | Eric Michael Lis | Technician | 24 Mcginnis Way, Lincoln, ND 58504-9303 | 2020-10-30 |
| 1649870734 | Leeann Wojnowski Horner | Social Worker | 125 Winter St, Lincoln, MA 01773-3501 | 2020-10-28 |
| 1780283358 | Marolynn Faye Lesmeister | Technician | 15 Custer Dr, Lincoln, ND 58504-9149 | 2020-10-23 |
| 1063011641 | Annie Beach | Psychologist | 22314 Raven Cir, Lincoln, DE 19960-4027 | 2020-10-23 |
| 1376142075 | Julie Danette Bauer | Technician | 76 Weir Dr, Lincoln, ND 58504-9199 | 2020-10-22 |
| 1265030647 | Anthony Meyer | Audiologist-Hearing Aid Fitter | 6140 Village Dr Ste 1, Lincoln, NE 68516-3521 | 2020-10-16 |
| 1326646951 | Trudy L Hogue | Technician | 12 Gibbons Dr, Lincoln, ND 58504-9167 | 2020-10-15 |
| Find all providers in LINCOLN | ||||
| Taxonomy Code | 261QM1102X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military Outpatient Operational (Transportable) Component |
| "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. |
| Notes: [1/1/2005: title modified, definition added] |
Please comment or provide details below to improve the information on NEBRASKA NATIONAL GUARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.