NPIMap

Organization Active NPI

Macon Resources, Inc.

  • Public Health or Welfare Agency
  • Decatur, IL
National Provider Identifier
1265589246
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MACON RESOURCES, INC.
Practice address
2715 N 27TH St
Decatur, IL 62526-2171
Phone
(217) 429-1052
Fax
(217) 423-7605
NPI assigned
Jan 4, 2007
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angie Neeley
Title
Executive Director
Phone
(217) 429-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary

Addresses

Primary practice location

2715 N 27TH St
Decatur, IL 62526-2171

Mailing address

2715 N. 27TH St.
Decatur, IL 62526
Phone (217) 429-1052

National Provider Directory

National Provider Directory

Locations

2715 N 27th St
Decatur, IL 62526
Phone (217) 429-1052

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1265589246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 N. 27TH ST.",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-429-1052",
            "fax_number": "217-423-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 N 27TH ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262171",
            "telephone_number": "217-429-1052",
            "fax_number": "217-423-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-429-1052"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.