NEBRASKA NATIONAL GUARD
NPI 1215022017
Clinic/Center - Military Outpatient Operational (Transportable) Component in Lincoln, NE
NPI Status: Active since October 04, 2006
- Organization
- Clinic/Center
- Military Outpatient Operational (Transpo...
- CLIA Number: 28D2024366
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2025
About NEBRASKA NATIONAL GUARD
This page provides the complete NPI Profile along with additional information for Nebraska National Guard, a provider established in Lincoln, Nebraska operating as a Clinic/center, focusing in military outpatient operational (transportable) component . The healthcare provider is registered in the NPI registry with number 1215022017 assigned on October 2006. The practitioner's primary taxonomy code is 261QM1102X with license number 57319 (NE). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Samantha S Keech Rn (Deputy State Surgeon)
- NPI
- 1215022017
- Provider Name
- NEBRASKA NATIONAL GUARD
- Entity Type
- Organization
- Location Address
- 2400 NW 24TH ST LINCOLN, NE 68524
- Location Phone
- (402) 309-1497
- Mailing Address
- 6905 WHITEWATER LN LINCOLN, NE 68521
- Mailing Phone
- (402) 476-7944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military Outpatient Operational (Transportable) Component
- Taxonomy Code
- 261QM1102X
- Type
- Ambulatory Health Care Facilities
- License No.
- 57319
- License State
- NE
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2024366
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2023
- Certificate Expiration Date
- August 23, 2025
- Laboratory Director
- MS. ANN MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nebraska National Guard to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 0 | 2 | 2 | 0 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 2 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 2 + 4 + 0 + 2 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1215022017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215022017, enumerated in the NPI registry as an "organization" on October 04, 2006
The provider is located at 2400 Nw 24th St Lincoln, Ne 68524 and the phone number is (402) 309-1497
This medical organization specializes in Clinic/Center with taxonomy code 261QM1102X with a focus in Military Outpatient Operational (Transportable) Component
The provider's CLIA number is 28D2024366 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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