# MARY FREE BED REHABILITATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARY FREE BED HOSPITAL AND REHABILITATION CENTER
- **Other names:** Mary Free Bed Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053641589
- **Legal business name:** MARY FREE BED HOSPITAL AND REHABILITATION CENTER
- **Authorized official:** RYAN PODVIN (CFO)
- **Authorized official phone:** (616) 840-8317

## Contact information

- **Practice address:** 235 WEALTHY ST SE, STE 100, GRAND RAPIDS, MI 49503-5247
- **Practice address phone:** (616) 840-8000
- **Practice address fax:** (616) 840-9640
- **Mailing address:** 235 WEALTHY ST SE, STE 100, GRAND RAPIDS, MI 49503-5247
- **Mailing address phone:** (616) 840-8000
- **Mailing address fax:** (616) 840-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | MI | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 04/15/2021