NPIMap

Organization Active NPI

Mary Free Bed Hospital and Rehabilitation

Doing business as Mary Free Bed Rehabilitation Hospital

  • Rehabilitation Hospital
  • Grand Rapids, MI
National Provider Identifier
1679749303
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MARY FREE BED HOSPITAL AND REHABILITATION
Doing business as
Mary Free Bed Rehabilitation Hospital
Practice address
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone
(616) 242-0403
Fax
(616) 242-9113
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randall Deneff
Title
VP Chief Financial Officer
Phone
(616) 242-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Mailing address

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 242-0403

Other identifiers 1

IdentifierTypeStateIssuer
0D16364OtherMIBLUE CROSS PHYSICIAN GROUP BILLING

Other names 1

  • Mary Free Bed Rehabilitation Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Free Bed Rehabilitation Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1679749303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-242-0403",
            "fax_number": "616-242-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-242-0403",
            "fax_number": "616-242-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY FREE BED HOSPITAL AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "DENEFF",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-242-0403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PHYSICIAN GROUP BILLING",
            "identifier": "0D16364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Free Bed Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.