99TH MEDICAL GROUP - MIKE O'CALLAGHAN FEDERAL HOSPITAL NPI 1154393759

NPI Information

  • NPI: 1154393759
  • Provider Name: 99TH MEDICAL GROUP - MIKE O'CALLAGHAN FEDERAL HOSPITAL
  • Classification: Military Hospital - 286500000X
  • Entity Type: Organization
  • Other Name: 99 MEDICAL GROUP
  • Address: 4700 LAS VEGAS BLVD N
    NELLIS AFB, NV
    ZIP 89191
  • Phone: (702) 653-2015

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NPI Details

99TH MEDICAL GROUP - MIKE O'CALLAGHAN FEDERAL HOSPITAL is a military hospital in Nellis Afb, NV. The provider is a health care facility operated by the Department of Defense. 99TH MEDICAL GROUP - MIKE O'CALLAGHAN FEDERAL HOSPITAL NPI is 1154393759. The provider is registered as an organization entity type.
The provider Other Name Is 99 Medical Group.

The provider's business location address is:

4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191-600
Phone: (702) 653-2015

The provider's authorized official is Serena Lynn Hansken .
The authorized official title is Air Force Uniform Business Office and has the following contact phone number (703) 588-6419.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 11/8/2024.

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
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientNo
2261QM1101XClinic/CenterMilitary and U.S. Coast Guard Ambulatory ProcedureNo
3286500000XMilitary HospitalYes
4332000000XMilitary/U.S. Coast Guard PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12975742OTHERNEVADANCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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