Stacey'S Mastectomy Center

LBN: Stacey'S Bra And Lingerie Shop, Inc
Stacey'S Mastectomy Center is an health care organization with primary practice located at 10453 Hickman Road , Urbandale IA 50322-5032. 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. Stacey'S Bra And Lingerie Shop, Inc can be contacted via phone (515) 226-9336, or through Burns-Fox, Stacey Ann via phone (515) 270-1399.

Contact Information

Primary practice address
10453 Hickman Road Urbandale IA 50322-5032
Phone: (515) 226-9336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burns-Fox, Stacey Ann CFM
Phone: (515) 270-1399

Health care specialties

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

Profile Details

NPI number 1720159452
LBN Legal business name Stacey'S Bra And Lingerie Shop, Inc
DBA Doing business as Stacey'S Mastectomy Center
Authorized official Burns-Fox, Stacey Ann CFM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 9th, 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 1720159452 NPPES
Iowa MEDICAID 0102509

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