99 Medical Group
LBN: Mike O'Callaghan Federal Hospital
99 Medical Group is an health care organization with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Hospitals / Military Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Hospitals / Military Hospital is the primary health care specialty.
Mike O'Callaghan Federal Hospital can be contacted via phone (702) 653-2015, or through Hansken, Serena Lynn via phone (703) 588-6419.
Contact Information
Primary practice address
4700 Las Vegas Blvd N
Nellis Afb NV 89191-6600
Phone: (702) 653-2015
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
Hospitals / Military Hospital | 286500000X | ||
Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
NPI number | 1154393759 |
---|---|
LBN Legal business name | Mike O'Callaghan Federal Hospital |
DBA Doing business as | 99 Medical Group |
Authorized official | Hansken, Serena Lynn |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Nov 15th, 2010 - about 14 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 | 1154393759 | NPPES |
Nevada | Other | 2975742 | NCPDP |
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