Bridgeport Home Medical Supply

LBN: Bridgeport Pharmacy, Inc
Bridgeport Home Medical Supply is an health care organization with primary practice located at 6226 Dixie Hwy , Bridgeport MI 48722-9513. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Bridgeport Pharmacy, Inc can be contacted via phone (989) 777-3286, or through Boettcher, Karen Marie via phone (989) 777-3286.

Contact Information

Primary practice address
6226 Dixie Hwy Bridgeport MI 48722-9513
Phone: (989) 777-3286
Fax: (989) 777-3384
Website:
Map and Directions
Authorized official contact:
Name: Boettcher, Karen Marie
Phone: (989) 777-3286

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 10657A Michigan

Profile Details

NPI number 1356308480
LBN Legal business name Bridgeport Pharmacy, Inc
DBA Doing business as Bridgeport Home Medical Supply
Authorized official Boettcher, Karen Marie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 1st, 2006
Last updated Dec 10th, 2010 - about 16 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 1356308480 NPPES
Michigan MEDICAID 4226131
Michigan Other 0G30386

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