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
Address 6230 Dixie Hwy, Bridgeport, Michigan
Phone Number 9897772196
Fax Number 9897773384
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Boettcher Karen
Telephone Number 9899281091

NPI Number Detail

NPI Number 1255472114
Provider Enumeration Date 2007-02-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6230 Dixie Hwy
City Bridgeport
State Michigan (MI)
Post Code 487229513
Phone Number 9897772196
Fax Number 9897773384

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
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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FAQs about Boettcher Home Medical Supply, Llc

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.

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