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Ehrling Bergquist Clinic
Military/U.S. Coast Guard Pharmacy in Offutt A F B, Nebraska
NPI 1316919160

Ehrling Bergquist Clinic is a Military/U.S. Coast Guard Pharmacy based in Offutt A F B, NE. Ehrling Bergquist Clinic practices in Offutt A F B, NE. The NPI Number for Ehrling Bergquist Clinic is 1316919160 and holds a License No. (Nebraska).

The current practice location address for Ehrling Bergquist Clinic is 2501 Capehart Rd, Offutt A F B, NE and can be reached out via phone at 402-294-9215 and via fax at 402-294-7463. You can also correspond with Ehrling Bergquist Clinic through the mailing address at 2501 CAPEHART RD, OFFUTT A F B, NE - 68113-1043 (mailing address contact number: 402-294-9215).

Location: 2501 Capehart Rd, Offutt A F B, NE, 68113-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316919160
Provider Name
Ehrling Bergquist Clinic
Credential
Provider Entity Type
Organization
Address
2501 Capehart Rd, Offutt A F B, NE, 68113-1043
Phone Number
402-294-9215
Fax Number
402-294-7463
Provider Enumeration Date
02/06/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2815706 01 NE NCPDP
institution
Provider Business Practice Location Address Details
Address
2501 Capehart Rd
City
Offutt A F B
State
Nebraska
Zip
68113-1043
Phone Number
402-294-9215
Fax Number
402-294-7463
person
Provider Business Mailing Address Details
Address
2501 Capehart Rd
City
Offutt A F B
State
Nebraska
Zip
68113-1043
Phone Number
402-294-9215
Fax Number
402-294-7463
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
()
Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military and U.S. Coast Guard Ambulatory Procedure
Taxonomy
261QM1101X
License No.
()
Definition
That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
person
Provider's Taxonomy Details 3
Type
Hospitals
Classification
Military Hospital
Speciality
-
Taxonomy
286500000X
License No.
()
Definition
A health care facility operated by the Department of Defense.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
()
Definition
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.
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