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 12662 Riley St Suite 140, Holland MI 49424-8023. 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
12662 Riley St Suite 140 Holland MI 49424-8023
Phone: (616) 840-8433
Fax: (616) 840-9504
Website:
Map and Directions
Authorized official contact:
Name: Porth, Mark A
Phone: (616) 840-8433

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Michigan
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Michigan

Profile Details

NPI number 1437187804
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 Jun 28th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437187804 NPPES
Michigan MEDICAID 853484356
Michigan Other 530D105100

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