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TRINITY HEALTH BOUTIQUE
NPI 1023274446
Durable Medical Equipment & Medical Supplies in Grand Rapids, MI

Active since August 05, 2008
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-5030 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Trinity Health Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY HEALTH BOUTIQUE (NPI 1023274446) is a healthcare organization registered as a durable medical equipment & medical supplies in Grand Rapids, Michigan and active in the NPI registry since August 2008. The organization lists Matthew Biersack, President, as its authorized official.

NPPES Registry Identity

NPI1023274446
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address200 Jefferson Ave SeGrand Rapids, MI 49503-4502 · (616) 685-5030
Phone(616) 685-5030
Organization SubpartNo
Authorized OfficialMatthew BiersackPresident · (616) 685-6413
Enumeration DateAugust 5, 2008
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
✔ NPI 1023274446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

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.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Names 1

Doing Business AsTrinity Health Boutique

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD ROBERT DEYOUNG
Pharmacist (Pharmacotherapy)
200 JEFFERSON AVE SE, ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE
GRAND RAPIDS, MI 49503
Kent County (616) 752-6410
MARK FIGURSKI MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
DONALD FINDLAY DO
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
MICHAEL OLGREN MD
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
DANIEL ROPER MD
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
NILDA M OXHOLMURIBE MD
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
JAMES DERNOCOEUR PA
Physician Assistant (Medical)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866
MARK MILLER DO
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (800) 968-6866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Boutique At Mercy Health Lacks Cancer Center's NPI number?

The NPI number for The Boutique At Mercy Health Lacks Cancer Center is 1023274446. It was assigned to this organization in the NPPES registry on August 5, 2008. The provider is doing business as Trinity Health Boutique.

Where is The Boutique At Mercy Health Lacks Cancer Center located?

The Boutique At Mercy Health Lacks Cancer Center is located at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5030.

What is The Boutique At Mercy Health Lacks Cancer Center's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does The Boutique At Mercy Health Lacks Cancer Center accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list The Boutique At Mercy Health Lacks Cancer Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Boutique At Mercy Health Lacks Cancer Center was last updated on August 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.