Mary Free Bed Brace And Corset Shop
LBN: Mary Free Bed Orthotics And Prosthetics
Mary Free Bed Brace And Corset Shop is an health care organization with primary practice located at 235 Wealthy St Se Ste 1100, Grand Rapids MI 49503-5247. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Mary Free Bed Orthotics And Prosthetics can be contacted via phone (616) 840-8433, or through Porth, Mark A via phone (616) 840-8433.
Contact Information
Primary practice address
235 Wealthy St Se Ste 1100
Grand Rapids MI 49503-5247
Phone: (616) 840-8433
Fax: (616) 840-9504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Michigan | |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | Michigan |
Profile Details
| NPI number | 1184607335 |
|---|---|
| LBN Legal business name | Mary Free Bed Orthotics And Prosthetics |
| DBA Doing business as | Mary Free Bed Brace And Corset Shop |
| Authorized official | Porth, Mark A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 6th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184607335 | NPPES |
| Michigan | MEDICAID | 851722744 | |
| Michigan | Other | 530D105100 |
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