The Boutique At Mercy Health Lacks Cancer Center in Grand Rapids - Durable Medical Equipment & Medical Supplies
The Boutique At Mercy Health Lacks Cancer Center - NPI 1023274446
The Boutique At Mercy Health Lacks Cancer Center is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. The Boutique At Mercy Health Lacks Cancer Center practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for The Boutique At Mercy Health Lacks Cancer Center is 1023274446. The last update date is 2022-08-26.
The Boutique At Mercy Health Lacks Cancer Center's current location address is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166855030. The mailing address for The Boutique At Mercy Health Lacks Cancer Center is 200 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Boutique At Mercy Health Lacks Cancer Center |
|---|---|
| Address | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Phone Number | 6166855030 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Biersack Matthew |
| Credentials | MD |
| Telephone Number | 6166856413 |
NPI Number Detail
| NPI Number | 1023274446 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2022-08-26 |
Provider Mailing Address Detail
| Address | 200 Jefferson Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034502 |
| Phone Number | 6166855030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique identification code assigned to The Boutique At Mercy Health Lacks Cancer Center by the Centers for Medicare & Medicaid Services?
The The Boutique At Mercy Health Lacks Cancer Center has been issued the NPI (National Provider Identifier) 1023274446. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the The Boutique At Mercy Health Lacks Cancer Center's physical address?
The The Boutique At Mercy Health Lacks Cancer Center is physically located at 200 Jefferson Ave Se, in the city of Grand Rapids, MI, with the postal code 495034502.
What is The Boutique At Mercy Health Lacks Cancer Center's area of expertise and its corresponding taxonomy classification?
The The Boutique At Mercy Health Lacks Cancer Center's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1023274446 to The Boutique At Mercy Health Lacks Cancer Center?
The The Boutique At Mercy Health Lacks Cancer Center received its 1023274446 assignment from the Centers for Medicare & Medicaid Services on 2008-08-05.
As of what date were the The Boutique At Mercy Health Lacks Cancer Center's details last updated?
The information pertaining to the The Boutique At Mercy Health Lacks Cancer Center, including its address, specialty, and other details, was most recently updated on 2022-08-26.
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