BOETTCHER HOME MEDICAL SUPPLY, LLC (NPI# 1255472114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255472114 |
| Entity Type | Organization |
| Organization Name | BOETTCHER HOME MEDICAL SUPPLY, LLC |
| Practice Address |
6230 Dixie Hwy Bridgeport MI 48722-9513 |
| Practice Telephone | 9897772196 |
| Practice Fax Number | 9897773384 |
| Mailing Telephone | 9897772196 |
| Mailing Fax Number | 9897773384 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAREN BOETTCHER (OWNER) |
| Authorized Official Telephone | 9899281091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D1437T | MI | Suppliers |
| Street Address |
6230 DIXIE HWY |
| City | BRIDGEPORT |
| State | MI |
| Zip Code | 48722-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
| 1376016261 | Guidepost Counseling Services, Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722 | 2019-01-03 |
| 1497098594 | Nicole Marie Judson | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722 | 2013-03-27 |
| 1659600377 | Kevin J Luptowski | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722 | 2009-12-08 |
| 1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
| 1114917242 | Bridgeport Pharmacy Inc | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2005-10-28 |
| 1922581131 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-09-13 |
| 1184120990 | Hemang Vinodchandra Patel | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-04-02 |
| 1538674163 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2017-12-05 |
| Find all providers in zip 48722 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
| 1730140930 | Mobility Center Inc | Durable Medical Equipment & Medical Supplies | 6693 Dixie Hwy, Bridgeport, MI 48722-9725 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189104 | Michigan Center for Tmj and Sleep Wellness | Durable Medical Equipment & Medical Supplies | 4550 Investment Dr Ste 290, Troy, MI 48098-6362 | 2020-09-21 |
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1124645502 | Wendell D Lawrence Dds Pllc | Durable Medical Equipment & Medical Supplies | 25865 W 12 Mile Rd Ste C-109, Southfield, MI 48034-1817 | 2020-07-01 |
| 1447873252 | Lilliana Kostinski Dds Pllc | Durable Medical Equipment & Medical Supplies | 706 W Sharon Ave Ste 3, Houghton, MI 49931-1970 | 2020-05-27 |
| 1699397158 | Aging In My Place Mobility Services LLC | Durable Medical Equipment & Medical Supplies | 3819 Clintonville Road, Waterford, MI 48329-2418 | 2020-05-07 |
| 1154972644 | Tj Rampit Usa, Inc. | Durable Medical Equipment & Medical Supplies | 338 Bidwell Rd, Coldwater, MI 49036-9238 | 2019-09-25 |
| 1093360935 | Willie Andrew Gaston | Durable Medical Equipment & Medical Supplies | 31549 Michigan Ave, Wayne, MI 48184-1414 | 2019-08-07 |
| 1699247544 | Colburn Dds PC Tt | Durable Medical Equipment & Medical Supplies | 3535 Park St Ste 100, Norton Shores, MI 49444-3736 | 2018-12-17 |
| 1316433808 | Juvedia Tracey White | Durable Medical Equipment & Medical Supplies | 3085 Bay Rd Ste 8, Saginaw, MI 48603-2405 | 2018-07-08 |
| 1669963849 | Mercy Medical Equpment,inc | Durable Medical Equipment & Medical Supplies | 3812 Trade Center Dr, Ann Arbor, MI 48108-2071 | 2018-05-23 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 48722 |
Please comment or provide details below to improve the information on BOETTCHER HOME MEDICAL SUPPLY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.