Mackmalter Enterprises, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MACKMALTER ENTERPRISES, INC.

Practice address

301 Rushing Drive
Suite B
Herrin, IL 62948-3749

Phone

(618) 998-9250

Fax

(618) 998-9286

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tami Michelle Jones

Title

Office Manager

Phone

(618) 438-0309

Specialties & licenses 1

Addresses

Other names 1

• ALPHA HOME HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mackmalter Enterprises Inc

  • Oxygen Equipment & Supplies (DME)
  • Benton, IL
  • NPI 1487670584

  6901916089

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mackmalter Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mackmalter Enterprises Inc

  • Oxygen Equipment & Supplies (DME)
  • Benton, IL
  • NPI 1487670584
  NPD tax ID

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1710017124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PUBLIC SQUARE",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "618122332",
            "telephone_number": "618-438-0309",
            "fax_number": "618-438-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RUSHING DRIVE",
            "address_2": "SUITE B",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483749",
            "telephone_number": "618-998-9250",
            "fax_number": "618-998-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKMALTER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-438-0309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Primary Care Service Corporation
• Jessica Lohman, NP
• Timothy J Loughran, D.D.S
• Joshua Caleb Loyd, FNP-BC
• Jamie Lyn Mabry, APN/CNP
• Rhett A Macneille, MD
• Abdul Rashid Majid, M.D.
• Rachael Victoria Malawy, BCBA
• Ismail Oladeji Malik, M.D.
• Marcia Malnar

• Oxygen Equipment & Supplies (DME) in Herrin, IL
• Providers in Herrin, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.