Mary Free Bed Orthotics And Prosthetics in Grand Rapids - Customized Equipment
Mary Free Bed Orthotics And Prosthetics - NPI 1245268622
Mary Free Bed Orthotics And Prosthetics is a Customized Equipment in Grand Rapids, Michigan. Mary Free Bed Orthotics And Prosthetics practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Mary Free Bed Orthotics And Prosthetics is 1245268622. The last update date is 2022-07-21.
Mary Free Bed Orthotics And Prosthetics's current location address is 235 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6163561916 and fax number 6163561868. The mailing address for Mary Free Bed Orthotics And Prosthetics is 235 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Free Bed Orthotics And Prosthetics |
|---|---|
| Address | 235 Wealthy St Se, Grand Rapids, Michigan |
| Phone Number | 6163561916 |
| Fax Number | 6163561868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF COMP |
|---|---|
| Authorized Official Name | Porth A Mark |
| Telephone Number | 6163561916 |
NPI Number Detail
| NPI Number | 1245268622 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 235 Wealthy St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495035247 |
| Phone Number | 6163561916 |
| Fax Number | 6163561868 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 874438302 | MI | -- | |
| 530D105100 | MI | BLUE CROSS UPIN |
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What is the Mary Free Bed Orthotics And Prosthetics's 1245268622?
The Mary Free Bed Orthotics And Prosthetics's NPI (National Provider Identifier) Number is 1245268622. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Free Bed Orthotics And Prosthetics located?
The Mary Free Bed Orthotics And Prosthetics is located at 235 Wealthy St Se, Grand Rapids, MI 495035247.
What is Mary Free Bed Orthotics And Prosthetics's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Free Bed Orthotics And Prosthetics's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245268622 to Mary Free Bed Orthotics And Prosthetics?
The Mary Free Bed Orthotics And Prosthetics received its 1245268622 assignment from the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information regarding Mary Free Bed Orthotics And Prosthetics most recently updated?
The details pertaining to the Mary Free Bed Orthotics And Prosthetics, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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