Mary Free Bed Brace And Corset Shop is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Holland, Michigan. It is situated at 12662 Riley St, Suite 140, Holland and its contact number is 616-840-8433. The authorized person of Mary Free Bed Brace And Corset Shop is Mr. Mark A Porth
who is Chief Compliance Officer of the store and his/her contact number is 616-840-8433. Mary Free Bed Brace And Corset Shop is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Mary Free Bed Brace And Corset Shop Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
12662 Riley St, Suite 140, Holland, Michigan, 49424-8023
Phone:
616-840-8433
Fax:
616-840-9504
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Mark A Porth
Position:
Chief Compliance Officer
Contact Number:
616-840-8433
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mary Free Bed Brace And Corset Shop center are as mentioned below.
NPI Number:
1437187804
NPI Enumeration Date:
28 Jun, 2006
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Free Bed Brace And Corset Shop are as mentioned below.
Specialization
License Number
State
Status
Michigan
Primary
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
853484356
Medicaid
Michigan
530D105100
Other
Michigan
Blue Cross Upin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Free Bed Brace And Corset Shop 12662 Riley St, Ste 140 Holland, Michigan
Zip:
49424-8023
Phone Number:
616-840-8433
Fax Number:
616-840-9504
Patients can reach Mary Free Bed Brace And Corset Shop at 12662 Riley St, Suite 140, Holland, Michigan or can call to book an appointment on 616-840-8433. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.