Provider Demographics
NPI:1457585911
Name:MERTEN AND BUTLER MORTUARY, INC.
Entity Type:Organization
Organization Name:MERTEN AND BUTLER MORTUARY, INC.
Other - Org Name:BLUE HILL FURNITURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WEDDINGFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-756-3030
Mailing Address - Street 1:501 W GAGE ST
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:NE
Mailing Address - Zip Code:68930-8000
Mailing Address - Country:US
Mailing Address - Phone:402-756-3030
Mailing Address - Fax:402-756-3040
Practice Address - Street 1:501 W GAGE ST
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:NE
Practice Address - Zip Code:68930-8000
Practice Address - Country:US
Practice Address - Phone:402-756-3030
Practice Address - Fax:402-756-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies