Organization
55TH MEDGRP-OFFUTT
Active
Parent organization
55TH MEDGRP-OFFUTT
Other names
DoD OFFUTT ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
55TH MEDGRP-OFFUTT
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
502 CUSTER DR, OFFUTT AFB, NE 68113-1043
(402) 294-3228
(402) 294-0711
Mailing address
EHRLING BERQUIST HOSPITAL, 2501 CAPEHART RD, OFFUTT AFB, NE 68113
(402) 294-3270
(402) 294-0711
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146770
PK
—
Enumeration date
07/10/2014
Last updated
05/29/2025
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