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:
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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629130612 NPPES
Other 2051663 PK

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