EHRLING BERQUIST HOSPITAL (NPI# 1871909846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871909846 |
| Entity Type | Organization |
| Organization Name | EHRLING BERQUIST HOSPITAL |
| Other Organization Name | DOD OFFUTT EPHCY |
| Practice Address |
502 Custer Dr Offutt Afb NE 68113-1043 |
| Mailing Address |
Ehrling Berquist Hospital 2501 Capehart Rd Offutt Afb NE 68113 |
| Practice Telephone | 4022943228 |
| Practice Fax Number | 4022940711 |
| Mailing Telephone | 4022943270 |
| Mailing Fax Number | 4022940711 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146770 | 01 |
| Other Name | Type Code |
|---|---|
| DoD OFFUTT ePhcy | Doing Business As Name - Organization |
| Street Address |
502 CUSTER DR |
| City | OFFUTT AFB |
| State | NE |
| Zip Code | 68113-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
| 1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
| 1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
| 1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
| 1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
| 1174016661 | Logan Wheeler | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113 | 2018-06-11 |
| Find all providers in zip 68113 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801865 | Walgreen Co | Military/U.S. Coast Guard Pharmacy | 18040 R Plaza, Omaha, NE 68135-1922 | 2006-07-29 |
| 1316919160 | Ehrling Bergquist Clinic | Military/U.S. Coast Guard Pharmacy | 2501 Capehart Rd, Ste 105, Offutt A F B, NE 68113-1043 | 2006-02-06 |
| City | OFFUTT AFB |
| Zip Code | 68113 |
Please comment or provide details below to improve the information on EHRLING BERQUIST HOSPITAL.
| 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.