National Provider Identifier Database

MARY FREE BED REHABILITATION HOSPITAL
Children


Contact Information

MARY FREE BED REHABILITATION HOSPITAL
235 WEALTHY ST SE
GRAND RAPIDS, MI49503-5247
Phone: 616-840-8000
Fax: 616-840-9718
Website:
Specialty Taxonomy Code
* Children 283XC2000X

* Indicates primary specialty

NPI Profile & details for MARY FREE BED REHABILITATION HOSPITAL

NPI Number 1467801894
Legal business name
LBN
MARY FREE BED REHABILITATION HOSPITAL
Authorized official RANDALL DENEFF - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/07/2016
Last updated 06/07/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Medicaid: 101556008
  • MI Other: 233026 MEDICARE ID-TYPE UNSPECIFIED
  • MI Other: 3996 PRIORITY HEALTH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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