DEPARTMENT OF VETERANS AFFAIRS NPI 1093981672

NPI Information

NPI: 1093981672
Provider Name: DEPARTMENT OF VETERANS AFFAIRS

Doing Business As: MIKE O'CALLAGHAN FEDERAL HOSPITAL

Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
4700 NORTH LAS VEGAS BLVD.
NELLIS AIR FORCE BASE
LAS VEGAS, NV
ZIP 89191
Phone: (702) 653-3172
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DEPARTMENT OF VETERANS AFFAIRS is a military hospital in Las Vegas, NV. The provider is a health care facility operated by the Department of Defense. DEPARTMENT OF VETERANS AFFAIRS NPI is 1093981672. The provider is registered as an organization entity type.
The provider Is Doing Business As Mike O'callaghan Federal Hospital.

The provider's business location address is:

4700 NORTH LAS VEGAS BLVD.
NELLIS AIR FORCE BASE
LAS VEGAS, NV
ZIP 89191-601
Phone: (702) 653-3172

The provider's authorized official is Marietta A. Cabillo .
The authorized official title is Nurse Clinical Coordinator and has the following contact phone number (702) 653-3172.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	286500000X	Military Hospital		RN 22304	NEVADA	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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