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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1720159452 | NPPES |
| Iowa | MEDICAID | 0102509 |
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