| Organization Name: | 55 MDOS |
| NPI Number: | 1285624262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN F HAMILTON (MENAL HEALTH FLIGHT COMMANDER) |
| Mailing Address: | 55 Mdos Sgo 2501 Capehart Rd Offutt A F B |
| State: | NE US |
| Postal Code: | 681131712 |
| Phone Number: | 4022947883 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2005 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |