1. Home
  2. Directory
  3. Michigan
  4. Portage
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

MASTEC WOMENS BOUTIQUE
NPI 1194888628
Durable Medical Equipment & Medical Supplies in Portage, MI

Active since December 18, 2006
524 E MILHAM AVE, PORTAGE, MI 49002(269) 373-6223(269) 373-6223 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mastec Womens Boutique NPPES

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

MASTEC WOMENS BOUTIQUE (NPI 1194888628) is a healthcare organization registered as a durable medical equipment & medical supplies in Portage, Michigan and active in the NPI registry since December 2006. The organization lists Virgie Ammerman, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1194888628
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMASTEC WOMENS BOUTIQUE
Location Address524 E MILHAM AVEPortage, MI 49002-1473
Mailing Address524 E Milham Ave, Suite BPortage, MI 49002 · (269) 373-6223 · Fax (269) 373-4720
Phone(269) 373-6223
Fax(269) 373-6223
Organization SubpartNo
Authorized OfficialVirgie AmmermanCeo/president · (269) 598-7765
Enumeration DateDecember 18, 2006
Last NPPES UpdateOctober 19, 2016
✔ NPI 1194888628 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.
524 E MILHAM AVE, Portage, MI 49002
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC0332510001MI
Other540C903700MI · Blue Cross

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 Mastec Womens Boutique's NPI number?

The NPI number for Mastec Womens Boutique is 1194888628. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Mastec Womens Boutique located?

Mastec Womens Boutique is located at 524 E Milham Ave, Portage, MI 49002. The listed phone number is (269) 373-6223.

What is Mastec Womens Boutique's specialty?

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

When was this NPI record last updated?

The NPPES record for Mastec Womens Boutique was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.