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MIKE O'CALLAGHAN FEDERAL HOSPITAL

Suppliers Military/U.S. Coast Guard Pharmacy

Provider NPI: 1154393759

Organization Information:
Organization Name:  MIKE O'CALLAGHAN FEDERAL HOSPITAL
Organization is not Subpart
Authorized Official:  SERENA LYNN HANSKEN  AIR FORCE UNIFORM BUSINESS OFFICE  703-588-6419

Practice Location:
4700 LAS VEGAS BLVD N  NELLIS AFB, NV 89191-6600 US
Tel: 702-653-2015  Fax: --

Business Mailing Address:
4700 LAS VEGAS BLVD N  NELLIS AFB, NV 89191-6600 US
Tel: --  Fax: --

NPI Information:
NPI: 1154393759
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332000000XSuppliers
Military/U.S. Coast Guard Pharmacy
N261QM1100XAmbulatory Health Care Facilities
Clinic/Center
N261QM1101XAmbulatory Health Care Facilities
Clinic/Center
Y286500000XHospitals
Military Hospital

Other Provider Identifiers:

IssuerNumberStateType
NCPDP2975742NV01



American Medical Association 2012 taxonomy code information

Code: 286500000X

Type:

Classification:



Definition:



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