Nellis Bravo Phcy
LBN: 99Th Medical Group - Mike O'Callaghan Federal Hospital
Nellis Bravo Phcy is an health care organization with primary practice located at 4700 Las Vegas Blvd N Bldg 1300, Las Vegas NV 89191-6600. 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.
99Th Medical Group - Mike O'Callaghan Federal Hospital can be contacted via phone (702) 653-3205, or through Morales, Hector via phone (210) 536-6650.
Contact Information
Primary practice address
4700 Las Vegas Blvd N Bldg 1300
Las Vegas NV 89191-6600
Phone: (702) 653-3205
Fax: (702) 653-2106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X | ||
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1023117462 |
|---|---|
| LBN Legal business name | 99Th Medical Group - Mike O'Callaghan Federal Hospital |
| DBA Doing business as | Nellis Bravo Phcy |
| Authorized official | Morales, Hector |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023117462 | NPPES |
| Other | 2051375 | PK |
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