Makak-2 LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

22397361 Issued in MO

Legal business name

MAKAK-2 LLC

Practice address

403 Droste Rd
Saint Charles, MO 63301-4879

Phone

(636) 925-2022

Fax

(636) 925-1859

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark Allan Finnegan

Title

Owner

Phone

(636) 925-2022

Specialties & licenses 1

Addresses

Other names 1

• Arch Medical Transportation of St. Charles Doing business as

Locations

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1851760714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DROSTE RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014879",
            "telephone_number": "636-925-2022",
            "fax_number": "636-925-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DROSTE RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014879",
            "telephone_number": "636-925-2022",
            "fax_number": "636-925-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAK-2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-925-2022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "22397361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arch Medical Transportation of St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.