MEDICARE: TALSMA FURNITURE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1164649729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALSMA FURNITURE, INC.

Provider Business Mailing Address
First Line	:	3620 CHICAGO DRIVE
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1620
Country	:	US
Telephone Number	:	616-669-1030
Fax Number	:	616-669-1650

Provider Business Practice Location Address
First Line	:	3620 CHICAGO DRIVE
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1620
Country	:	US
Telephone Number	:	616-669-1030
Fax Number	:	616-669-1650

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TIMOTHY TALSMA
Credential	:
Telephone Number	:	616-669-1030

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	06/16/2008

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