Organization Active NPI

Ehlers Holdings Inc

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
National Provider Identifier
1417034174
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Nov 19, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME02991FMedicaidCA

Other names 1

  • Ehlers Health Supply Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.