Boettcher Home Medical Supply, Llc in Bridgeport - Customized Equipment
Boettcher Home Medical Supply, Llc - NPI 1255472114
Boettcher Home Medical Supply, Llc is a Customized Equipment in Bridgeport, Michigan. Boettcher Home Medical Supply, Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Boettcher Home Medical Supply, Llc is 1255472114. The last update date is 2020-08-22.
Boettcher Home Medical Supply, Llc's current location address is 6230 Dixie Hwy, Bridgeport, Michigan. You can contact this provider via phone number 9897772196 and fax number 9897773384. The mailing address for Boettcher Home Medical Supply, Llc is 6230 Dixie Hwy, Bridgeport, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Boettcher Home Medical Supply, Llc |
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Address | 6230 Dixie Hwy, Bridgeport, Michigan |
Phone Number | 9897772196 |
Fax Number | 9897773384 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Boettcher Karen |
Telephone Number | 9899281091 |
NPI Number Detail
NPI Number | 1255472114 |
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Provider Enumeration Date | 2007-02-12 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 6230 Dixie Hwy |
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City | Bridgeport |
State | Michigan (MI) |
Post Code | 487229513 |
Phone Number | 9897772196 |
Fax Number | 9897773384 |
Provider's Primary Taxonomy Detail
Speciality | Customized Equipment |
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Taxonomy | 332Bc3200X |
Licence No | D1437T |
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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What is the unique 10-digit identification code assigned to Boettcher Home Medical Supply, Llc by the Centers for Medicare & Medicaid Services?
The Boettcher Home Medical Supply, Llc has been issued the NPI (National Provider Identifier) 1255472114, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Boettcher Home Medical Supply, Llc's physical address?
The Boettcher Home Medical Supply, Llc is physically located at 6230 Dixie Hwy, in the city of Bridgeport, MI, with the postal code 487229513.
What is Boettcher Home Medical Supply, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Boettcher Home Medical Supply, Llc's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.
On what date was the 1255472114 assigned to Boettcher Home Medical Supply, Llc?
The Boettcher Home Medical Supply, Llc was issued its 1255472114 on 2007-02-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Boettcher Home Medical Supply, Llc's details last updated?
The information pertaining to the Boettcher Home Medical Supply, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.