Offutt Main Phcy

LBN: 55Th Medical Group Sgsl
Offutt Main Phcy is an health care organization with primary practice located at 2501 Capehart Rd , Bellevue NE 68123. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. 55Th Medical Group Sgsl can be contacted via phone (402) 294-7358, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
2501 Capehart Rd Bellevue NE 68123
Phone: (402) 294-7358
Fax: (402) 232-4165
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1194824524
LBN Legal business name 55Th Medical Group Sgsl
DBA Doing business as Offutt Main Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 8th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194824524 NPPES
Other 2055512 PK

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