DEPARTMENT OF VETERANS AFFAIRS (NPI# 1093981672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093981672 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Other Organization Name | MIKE O'CALLAGHAN FEDERAL HOSPITAL |
| Practice Address |
4700 North Las Vegas Blvd. Nellis Air Force Base Las Vegas NV 89191-6601 |
| Mailing Address |
164 Wellspring Ave Las Vegas NV 89183-7616 |
| Practice Telephone | 7026533172 |
| Mailing Telephone | 7026533172 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MRS. MARIETTA A. CABILLO (NURSE CLINICAL COORDINATOR) |
| Authorized Official Telephone | 7026533172 |
| Authorized Official Credential | MSN, RN, BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | RN 22304 | NV | Hospitals |
| Other Name | Type Code |
|---|---|
| Mike O'Callaghan Federal Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
4700 NORTH LAS VEGAS BLVD. NELLIS AIR FORCE BASE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89191-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149106 | Va Hospital | Military Hospital | 8967 Via Vista Cir, Las Vegas, NV 89147-6536 | 2015-07-13 |
| 1669818787 | Southern Nevada Veteran Association | Military Hospital | 121 N Cimarron Rd, Las Vegas, NV 89145-3902 | 2013-05-15 |
| 1518288190 | John W Harrell | Military Hospital | 4813 Beresik Cir, Las Vegas, NV 89115-2228 | 2010-06-17 |
| 1891930244 | United States Air Force | Military Hospital | 6501 Vegas Dr Apt 1034, Las Vegas, NV 89108-7773 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893800 | Cherokee Medical Services | Military Hospital | 4233 Fornax Ct, North Las Vegas, NV 89032-0736 | 2012-09-12 |
| 1265706311 | Jose Antonio Ortega | Military Hospital | 3533 Round Vally Way, Nv, NV 89129 | 2012-03-06 |
| 1982022075 | Va Sierra Nevada Health Care System | Military Hospital | 975 Kirman Ave, Reno, NV 89502-0993 | 2014-04-04 |
| 1306162359 | Department of Veteran Affairs | Military Hospital | 6110 Plumas St, Reno, NV 89519-6076 | 2010-04-15 |
| 1184890907 | Sami J Tomsick | Military Hospital | 6900 Pecos Rd, North Las Vegas, Nv 89086, North Las Vegas, NV 89086-4400 | 2008-05-01 |
Please comment or provide details below to improve the information on DEPARTMENT OF VETERANS AFFAIRS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.