Mac-Con Properties Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1045322-1-AFC Issued in MN

Legal business name

MAC-CON PROPERTIES INC.

Doing business as

Country Lane Homes

Practice address

1022 Poplar Dr
East Gull Lake, MN 56401-3091

Phone

(218) 825-0071

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jaclyn Anne Langner

Title

Program Director

Phone

(320) 360-3815

Specialties & licenses 1

Addresses

Other names 1

• Country Lane Homes Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1396863304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 POPLAR DR",
            "city": "EAST GULL LAKE",
            "state": "MN",
            "postal_code": "564013091",
            "telephone_number": "218-825-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 POPLAR DR",
            "city": "EAST GULL LAKE",
            "state": "MN",
            "postal_code": "564013091",
            "telephone_number": "218-825-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC-CON PROPERTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "LANGNER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "320-360-3815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "1045322-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Lane Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Buxton
• Kathleen Buxton (A Woman's Choice)
• Michael Owen Musty Sr., MD
• Amanda Nelson, MA, LMFT
• Lorraine Sellner, LPCC
• Crystal Ann Waagmeester, PA

• Health Maintenance Organization in East Gull Lake, MN
• Providers in East Gull Lake, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.