OrganizationActive
55 Mdos
NPI 1881095669 · Primary Care Clinic/Center · Offutt Afb, NE
Provider details
- NPI number
- 1881095669
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rama Bhyravabhotla, Director Ipap Phase 2 Program
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Registry dates
- Enumerated
- 2014-09-11
- Last updated
- 2015-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.