Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Boutique at Mercy Health Lacks Cancer Center

Organization Durable Medical Equipment & Medical Supplies · NPI 1023274446

The Boutique at Mercy Health Lacks Cancer Center is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 685-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1023274446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Biersack — President · (616) 685-6413
Other names Trinity Health Boutique
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address200 Jefferson Ave Se, Grand Rapids, MI 49503-4502

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