Organization Active NPI

Medical Aid Corporation

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1659379899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
07-693941-E Issued in AZ
Legal business name
MEDICAL AID CORPORATION
Practice address
4711 E Falcon Dr
Ste 208
Mesa, AZ 85215-2593
Phone
(480) 830-7314
Fax
(480) 445-9948
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark McCormack
Title
Treasurer/Secretary
Phone
(480) 830-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 07-693941-E AZ Primary

Addresses

Primary practice location

4711 E Falcon Dr
Ste 208
Mesa, AZ 85215-2593

Mailing address

4711 E Falcon Dr
Ste 208
Mesa, AZ 85215-2593
Phone (480) 830-7314

Other identifiers 1

IdentifierTypeStateIssuer
911794MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4711 E Falcon Dr
Ste 208
Mesa, AZ 85215
Phone (480) 830-7314

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659379899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 E FALCON DR",
            "address_2": "STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152593",
            "telephone_number": "480-830-7314",
            "fax_number": "480-445-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 E FALCON DR",
            "address_2": "STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152593",
            "telephone_number": "480-830-7314",
            "fax_number": "480-445-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AID CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER/SECRETARY",
        "authorized_official_telephone_number": "480-830-7314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07-693941-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911794",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.