Nellis Va Outpatient Phcy
LBN: 99Th Medical Group - Mike O'Callaghan Federal Hospital
Nellis Va Outpatient Phcy is an health care organization with primary practice located at Mike O Callaghan Federal Hosp/Sgsap 4700 Las Vegas Blvd North Bldg 1300, Nellis Afb NV 89191. 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) 653-3201, or through Morales, Hector via phone (210) 536-6650.
Contact Information
Primary practice address
Mike O Callaghan Federal Hosp/Sgsap 4700 Las Vegas Blvd North Bldg 1300
Nellis Afb NV 89191
Phone: (702) 653-3201
Fax: (702) 653-2171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X | ||
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1629130612 |
|---|---|
| LBN Legal business name | 99Th Medical Group - Mike O'Callaghan Federal Hospital |
| DBA Doing business as | Nellis Va Outpatient Phcy |
| Authorized official | Morales, Hector |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 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 | 1629130612 | NPPES |
| Other | 2051663 | PK |
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