Mac Medical Concepts LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MAC MEDICAL CONCEPTS LLC

Practice address

2999 Highview LN
Mound, MN 55364-9421

Phone

(612) 309-9857

Fax

(952) 472-7024

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William G McVay

Title

Vice President

Phone

(952) 472-7024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720100563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 HIGHVIEW LN",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553649421",
            "telephone_number": "612-309-9857",
            "fax_number": "952-472-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 HIGHVIEW LN",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553649421",
            "telephone_number": "612-309-9857",
            "fax_number": "952-472-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC MEDICAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCVAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-472-7024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Kruesel
• Debra Karen Kullberg, L.A.M.F.T., M.DIV.
• Robert A Lauer, DDS
• Lost Lake Optical Company
• Loving Care by Martha
• Patricia J. Mactaggert, M.A.,L.P.
• Mazen Manla, DDS
• Christopher Markov, MA LAMFT
• Leland Karl Martin, PHD
• Larry A Mathison, MD

• Customized Equipment (DME) in Mound, MN
• Providers in Mound, MN by specialty
• Customized Equipment (DME) in Minnesota

• 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.