Mary Free Bed Orthotics And Prosthetics in Grand Rapids - Prosthetic/orthotic Supplier
Mary Free Bed Orthotics And Prosthetics - NPI 1619929643
Mary Free Bed Orthotics And Prosthetics is a Prosthetic/orthotic Supplier in Grand Rapids, Michigan. Mary Free Bed Orthotics And Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Mary Free Bed Orthotics And Prosthetics is 1619929643. 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 | 1619929643 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| 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 | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 530D105100 | MI | BLUE CROSS UPIN | |
| 853222011 | MI | -- |
Post Comment/ Review Below
What is the Mary Free Bed Orthotics And Prosthetics's 1619929643?
The Mary Free Bed Orthotics And Prosthetics's NPI (National Provider Identifier) Number is 1619929643. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Free Bed Orthotics And Prosthetics is physically located?
The Mary Free Bed Orthotics And Prosthetics is situated at the following address: 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 Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did Mary Free Bed Orthotics And Prosthetics receive its 1619929643 assignment from the Centers for Medicare & Medicaid Services?
The Mary Free Bed Orthotics And Prosthetics was assigned its 1619929643 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Free Bed Orthotics And Prosthetics last refreshed?
The information related to the Mary Free Bed Orthotics And Prosthetics, including its address, specialty, and other relevant details, was last updated on 2022-07-21.