Mastec Womens Boutique
Durable Medical Equipment & Medical Supplies
524 E Milham Ave, Portage
Michigan, 49002-1473
269-373-6223 269-373-6223
Mastec Womens Boutique is a Durable Medical Equipment & Medical Supplies in Portage, Michigan. It is located at 524 E Milham Ave, Portage and it's customer support contact number is 269-373-6223. The authorized person of Mastec Womens Boutique is Virgie Ammerman who is Ceo/president of this DME and his contact number is 269-598-7765.
Mastec Womens Boutique is 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.
DME Supplier Details:
Mastec Womens Boutique type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mastec Womens Boutique |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 524 E Milham Ave, Portage,
Michigan, 49002-1473 |
| Phone: | 269-373-6223 |
| Fax: | 269-373-6223 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Virgie Ammerman |
| Position: | Ceo/president |
| Contact Number: | 269-598-7765 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1194888628 |
| NPI Enumeration Date: | 18 Dec, 2006 |
| NPI Last Update On: | 19 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mastec Womens Boutique are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 540C903700 | Other | Michigan | Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 524 E Milham Ave, Suite B
Portage, Michigan |
| Zip: | 49002 |
| Phone Number: | 269-373-6223 |
| Fax Number: | 269-373-4720 |
Patients can reach Mastec Womens Boutique at
524 E Milham Ave, Portage, Michigan or can
call on customer care at 269-373-6223.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.