That location drives the oil pump, pretty much like many domestic gasser v8 distributors drive the oil pump.
The manual tranny truck's oil pump drive goes in that location just like a gasser distributor, except there's nothing protruding up - the oil pump drive top is sealed - sorta like a soft plug.
Think the auto tranny trucks (at least some years) use an oil pump drive w/ some type of rpm sensor attached on the top of the drive.
Search "6.5 diesel oil pump drive" & you should find some pics of these parts.
Actually this thread reminds me, my photo album has a pic of an oil pump priming tool I made from one of the auto tranny oil pump drives. Removed the rpm sensor stuff, ground down the gear that get's driven by the cam, then you can chuck a drill on the shaft & spin the oil pump to prime oiling system.