Active NPI
Ehlers Holdings Inc
- Durable Medical Equipment & Medical Supplies
- Stockton, CA
National Provider Identifier
1417034174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EHLERS HOLDINGS INC
- Practice address
- 611 Grider Way
Stockton, CA 95210-3920 - Phone
- (209) 476-0812
- Fax
- (209) 476-0403
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Ehlers
- Title
- President
- Phone
- (209) 368-8845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
611 Grider Way
Stockton, CA 95210-3920
Mailing address
PO Box 1418
Lodi, CA 95241-1418
Phone (209) 368-8845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02991F | Medicaid | CA |
Other names 1
- Ehlers Health Supply
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321660800000",
"number": "1417034174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1418",
"city": "LODI",
"state": "CA",
"postal_code": "952411418",
"telephone_number": "209-368-8845",
"fax_number": "209-368-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 GRIDER WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103920",
"telephone_number": "209-476-0812",
"fax_number": "209-476-0403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHLERS HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2011-11-19",
"status": "A",
"authorized_official_last_name": "EHLERS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-368-8845",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02991F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ehlers Health Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.