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DFAS-JFLL/IN
NPI 1235539750
Clinic/Center - Primary Care in Bellevue, NE

Active since September 03, 2014
4005 RAYNOR PKWY APT 3316, BELLEVUE, NE 68123(210) 862-0632 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dfas-jfll/in NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DFAS-JFLL/IN (NPI 1235539750) is a healthcare organization registered as a primary care in Bellevue, Nebraska and active in the NPI registry since September 2014. The organization lists Marina Puentes, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1235539750
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDFAS-JFLL/IN
Location Address4005 RAYNOR PKWY APT 3316Bellevue, NE 68123-6110
Mailing Address4005 Raynor Pkwy Apt 3316Bellevue, NE 68123-6110 · (210) 862-0632
Phone(210) 862-0632
Organization SubpartNo
Authorized OfficialMarina PuentesPhysician Assistant · (210) 862-0632
Enumeration DateSeptember 3, 2014
✔ NPI 1235539750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4005 RAYNOR PKWY APT 3316, Bellevue, NE 68123
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dfas-Jfll/In's NPI number?

The NPI number for Dfas-Jfll/In is 1235539750. It was assigned to this organization in the NPPES registry on September 3, 2014.

Where is Dfas-Jfll/In located?

Dfas-Jfll/In is located at 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123. The listed phone number is (210) 862-0632.

What is Dfas-Jfll/In's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dfas-Jfll/In was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.