MARACON HEALTH CARE SERVICES, INC (NPI# 1982679700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982679700 |
| Entity Type | Organization |
| Organization Name | MARACON HEALTH CARE SERVICES, INC |
| Practice Address |
1595 Selby Avenue Suite 201 St Paul MN 55104-6285 |
| Mailing Address |
1595 Selby Avenue, Suite 201 St Paul MN 55104-6285 |
| Practice Telephone | 6516410895 |
| Practice Fax Number | 6516410894 |
| Mailing Telephone | 6516410895 |
| Mailing Fax Number | 6516410894 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | MR. ONYEDIMMA NWACHUKU (CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 6516410895 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 70G05MA | 01 |
| Street Address |
1595 SELBY AVENUE SUITE 201 |
| City | ST PAUL |
| State | MN |
| Zip Code | 55104-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1619030905 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1800 Como Ave Stes 105, 106, 201, St Paul, MN 55108 | 2006-12-18 |
| 1992810030 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 2197 Hudson Rd, St Paul, MN 55119 | 2006-08-20 |
| 1760497077 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1110 Larpenteur Ave W, St Paul, MN 55113-6317 | 2006-07-29 |
| 1215960323 | Hamilton Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 16610 Russell Street, St Paul, VA 24283 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
| 1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
| 1932706082 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 131 St Olaf Ave N, Canby, MN 56220-1371 | 2020-10-01 |
| 1154936540 | Caerus Corp | Durable Medical Equipment & Medical Supplies | 1251 Red Fox Rd # 603, Arden Hills, MN 55112-6943 | 2020-09-11 |
| 1043829286 | Janet Kay Strassburg | Durable Medical Equipment & Medical Supplies | 4601 Excelsior Blvd Ste 401, St Louis Park, MN 55416-4977 | 2020-07-23 |
| 1336766294 | Royal Apex Solutions LLC | Durable Medical Equipment & Medical Supplies | 700 Fox Rd, Lino Lakes, MN 55014-5468 | 2020-06-26 |
| 1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1942829569 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2300 Hasting Ave, Suite 1, Newport, MN 55055 | 2020-04-14 |
| 1508495797 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1201 Center Ave W, Dilworth, MN 56529-1352 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.