Veterans Affairs Nebraska-Western Iowa Health Care System (NWIHCS) serves an estimated Veteran population of 161,000 in 101 counties in Nebraska, western Iowa, Kansas and Missouri. The Omaha VA Medical Center is a tertiary facility that provides inpatient and outpatient health care through comprehensive primary care, medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, gynecology, dentistry and geriatrics. The Grand Island VAMC provides outpatient primary, speciality and mental care, pharmacy, radiology, prosthetics and laboratory services, as well as a residential substance abuse program. A Community Living Center (CLC) provides short-stay rehabilitation, skilled-nursing care, respite and long-term care. The Lincoln VA Clinic provides a wide range of services including team-based primary care services, specialty medicine, surgery, mental health, physical medicine and rehabilitation, pain clinic, sleep clinic, smoking cessation clinics and others as well as polytrauma, audiology, optometry and dental. The VA clinics in Norfolk, North Platte, Holdrege, Bellevue and Shenandoah, Iowa and O’Neill, Nebraska, provide primary care, mental health and telehealth in the following areas: audiology, mental health, nutrition, MOVE (wellness and weight-loss) program and home telehealth. VA Veterans Centers are located in Omaha and Lincoln, with a Move Vet Center through the Lincoln office.