THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER NPI 1023274446

NPI Information

  • NPI: 1023274446
  • Provider Name: THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: TRINITY HEALTH BOUTIQUE
  • Address: 200 JEFFERSON AVE SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 685-5030

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NPI Details

THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER is a durable medical equipment medical supplies in Grand Rapids, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER NPI is 1023274446. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Health Boutique.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-5030

The provider's authorized official is Matthew Biersack .
The authorized official title is President and has the following contact phone number (616) 685-6413.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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