INTIMATE ILLUSIONS (NPI# 1770707580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770707580 |
| Entity Type | Organization |
| Organization Name | INTIMATE ILLUSIONS |
| Practice Address |
333 S Stephenson Ave Iron Mountain MI 49801-2942 |
| Practice Telephone | 9067762190 |
| Practice Fax Number | 9067762191 |
| Mailing Telephone | 9067762190 |
| Mailing Fax Number | 9067762191 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | JEAN ELMER SIMONE (PRESIDENT MASTECTOMY FITTER) |
| Authorized Official Telephone | 9067762190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
333 S STEPHENSON AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952410847 | Cory J Vedin | Social Worker | 333 S Stephenson Ave, Iron Mountain, MI 49801-2942 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043486913 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 E F St, Iron Mountain, MI 49801-3442 | 2008-05-01 |
| 1689756082 | Tds, Inc | Durable Medical Equipment & Medical Supplies | 1112 South Stephenson Ave., Iron Mountain, MI 49801 | 2006-10-19 |
| 1346260700 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 710 Carpenter Ave, Iron Mountain, MI 49801-3306 | 2006-07-20 |
| 1780602110 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1920 S Stephenson Ave, Iron Mountain, MI 49801-3641 | 2006-07-17 |
| 1811974488 | Tds Inc | Durable Medical Equipment & Medical Supplies | 1112 S Stephenson Ave, Iron Mountain, MI 49801-4038 | 2005-12-27 |
| 1871081547 | Bellin Health Iron Mountain Inc | Durable Medical Equipment & Medical Supplies | 710 Carpenter Ave, Iron Mountain, MI 49801-3306 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103257 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 | 2020-10-27 |
| 1336747336 | Wheelchairs Outlet | Durable Medical Equipment & Medical Supplies | 5506 Maplebrook Ln, Flint, MI 48507-4160 | 2020-10-12 |
| 1205449543 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 608 Wright Ave Rm 106, Alma, MI 48801-1617 | 2020-08-26 |
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1457979858 | American Dental Care Lab LLC | Durable Medical Equipment & Medical Supplies | 9209 N Island Ct, Flushing, MI 48433-2934 | 2020-07-12 |
| 1013535178 | Karmen Industries LLC | Durable Medical Equipment & Medical Supplies | 4225 Tanglewood Trl, Saint Joseph, MI 49085-9647 | 2020-07-06 |
| 1972126126 | Boss and Rorvik Family Dental, Pllc | Durable Medical Equipment & Medical Supplies | 1504 Harcrest Dr Ste 2, Midland, MI 48640-4717 | 2020-05-22 |
| 1720600463 | Milk Moves LLC | Durable Medical Equipment & Medical Supplies | 18032 James Couzens Fwy, Detroit, MI 48235-2646 | 2020-05-15 |
| 1225658818 | Aen Sports, LLC | Durable Medical Equipment & Medical Supplies | 40417 Beechwood Ct, Northville, MI 48168-3418 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on INTIMATE ILLUSIONS.
| 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.