Organization
MARY FREE BED REHABILITATION HOSPITAL
Active
Other names
Mary Free Bed Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN PODVIN (CFO)
(616) 840-8676
Entity
Organization
Contact information
Practice address
235 WEALTHY SE, GRAND RAPIDS, MI 49503-5299
(616) 242-0403
(616) 242-9113
Mailing address
235 WEALTHY SE, GRAND RAPIDS, MI 49503-5299
(616) 840-8676
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
410070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101556008
—
MI
01
—
233026
OSCAR
—
01
—
3996
PRIORITY HEALTH
—
Enumeration date
05/19/2006
Last updated
01/27/2022
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