MIKE O'CALLAGHAN FEDERAL HOSPITAL NPI 1154393759

NPI Information

NPI: 1154393759
Provider Name: MIKE O'CALLAGHAN FEDERAL HOSPITAL

Other Name: 99 MEDICAL GROUP

Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-2015
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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. 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 11/15/2010.

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	Primary
1	332000000X	Military/U.S. Coast Guard Pharmacy		No
2	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
3	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	No
4	286500000X	Military Hospital		Yes

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
1	2975742	OTHER	NEVADA	NCPDP

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: 11/14/2023

NPI Synchronization or Removal

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