Provider Demographics
NPI:1689880528
Name:ERMC UNIFORM BUSINESS OFFICE
Entity Type:Organization
Organization Name:ERMC UNIFORM BUSINESS OFFICE
Other - Org Name:AHC DARMSTADT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH SYSTEMS SPEC
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:0114963719-464-5471
Mailing Address - Street 1:CMR 402
Mailing Address - Street 2:BLDG 3700 ERMC UBO
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:US
Mailing Address - Phone:0114963719-464-7400
Mailing Address - Fax:
Practice Address - Street 1:CMR 431
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09175
Practice Address - Country:US
Practice Address - Phone:0114963719-464-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERMC UNIFORM BUSINESS OFFICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-15
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN
OTH000Medicare UPIN