Mac Service Network LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MAC SERVICE NETWORK LLC

Practice address

414 S 8TH St
Minneapolis, MN 55404-1025

Phone

(612) 341-1601

Fax

(612) 341-1642

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Angela Peterson

Title

Billing Office Manager

Phone

(612) 341-1674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710367933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S 8TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041025",
            "telephone_number": "612-341-1601",
            "fax_number": "612-341-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S 8TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041025",
            "telephone_number": "612-341-1601",
            "fax_number": "612-341-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC SERVICE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "612-341-1674"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Maaske, MSW, LICSW
• Molly Aleah Maass, PA-C
• Linda L Mabbs, MA CCC SLP
• Carolee Frances Mabe
• Mabs Recovery Center LLC
• Jean-Marc Mac-Thiong, M.D.
• Jeffrey Alexander Macalena, MD
• Daryn Tam Macasieb, RD
• Nadia Maccabee-Ryaboy, M.D.
• Claire M Maccani

• Public Health or Welfare Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.