| NPI | 1215022017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA S KEECH Deputy State Surgeon 402-476-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component (Licence: NE 57319) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |