55TH MEDICAL GROUP
NPI 1316919160
Clinic/center, Militaryu.s. Coast Guard Outpatient in Offutt A F B,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 6, 2006

Contact Information

2501 Capehart Rd
Offutt A F B,
Post Code: 68113
Phone: (402) 294-9215
Fax: (402) 294-7463

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55th Medical Group in Offutt A F B - Clinic/Center, MilitaryU.S. Coast Guard Outpatient

55th Medical Group is a Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Offutt A F B, . 55th Medical Group practices all healthcare services and medical treatments related to Clinic/Center, MilitaryU.S. Coast Guard Outpatient. The NPI Number for 55th Medical Group is 1316919160. The last update date is 2010-11-15.

55th Medical Group's current location address is 2501 Capehart Rd, Offutt A F B, . You can contact this provider via phone number (402) 294-9215 and fax number (402) 294-7463. The mailing address for 55th Medical Group is 2501 Capehart Rd, Offutt A F B, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1316919160
Provider Legal Name
EHRLING BERGQUIST CLINIC
Other Organization Name
55TH MEDICAL GROUP
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
2501 Capehart Rd, Offutt A F B,
Location Phone
(402) 294-9215
Location Fax
(402) 294-7463
Mailing Address
2501 Capehart Rd, Offutt A F B, Nebraska(NE)
Mailing Phone
402-294-9215
Mailing Fax
402-294-7463
Enumeration Date
2006-02-06
Last Update Date
2010-11-15
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Hospital

Taxonomy Code
286500000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center

Clinic/Center, MilitaryU.S. Coast Guard Outpatient

()
2 261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure

()
3 332000000X Military/U.S. Coast Guard Pharmacy

MilitaryU.S. Coast Guard Pharmacy

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2815706 Other (non-Medicare) (01) Nebraska (NE) NCPDP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316919160
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
232618118112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 232618118112
2 + 3 + 2 + 6 + 1 + 8 + 1 + 1 + 8 + 1 + 1 + 2 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1316919160 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174526198 JON J MORTON
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1013910280 PATRICK B LEU
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1235132457 BRENT E ADAMSON
Individual
Orthopaedic Surgery 3500 CENTRAL AVE
KEARNEY, Nebraska (NE)
308-865-2512
1225031479 PETER M GORDON
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1023011152 HARVEY A KONIGSBERG
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800