MARY FREE BED REHABILITATION HOSPITAL NPI 1467801894

NPI Information

NPI: 1467801894
Provider Name: MARY FREE BED REHABILITATION HOSPITAL
Classification: Rehabilitation Hospital - 283XC2000X
Entity Type: Organization

Specialization: Children

Address:
235 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 840-8000
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MARY FREE BED REHABILITATION HOSPITAL is a children rehabilitation hospital in Grand Rapids, MI. MARY FREE BED REHABILITATION HOSPITAL NPI is 1467801894. The provider is registered as an organization entity type.

The provider's business location address is:

235 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49503-247
Phone: (616) 840-8000
Fax: (616) 840-9718

The provider's authorized official is Randall Deneff .
The authorized official title is Cfo and has the following contact phone number (616) 840-8317.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.

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
1	283XC2000X	Rehabilitation Hospital	Children			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3996	OTHER	MICHIGAN	PRIORITY HEALTH
2	233026	OTHER	MICHIGAN	MEDICARE ID-TYPE UNSPECIFIED
3	101556008	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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