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 360 Lafayette Ave Se Suite 330, Grand Rapids MI 49503-4677. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Mary Free Bed Orthotics And Prosthetics can be contacted via phone (616) 356-1916, or through Porth, Mark A via phone (616) 356-1916.

Contact Information

Primary practice address
360 Lafayette Ave Se Suite 330 Grand Rapids MI 49503-4677
Phone: (616) 356-1916
Fax: (616) 356-1868
Website:
Map and Directions
Authorized official contact:
Name: Porth, Mark A
Phone: (616) 356-1916

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X Michigan

Profile Details

NPI number 1245268622
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 4 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 1245268622 NPPES
Michigan MEDICAID 874438302
Michigan Other 530D105100

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