MCC Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MCC MEDICAL, LLC

Practice address

MCC Medical, LLC
1565 J Street
Arcata, CA 95521

Phone

(425) 778-4421

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Jon McCormick

Title

Owner

Phone

(425) 778-4421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark T Gabr, M.D.

  • Clinical Neurophysiology Physician
  • Salem, OR
  • NPI 1487759890
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1912553736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PARADISE LN",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204651",
            "telephone_number": "425-778-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCC MEDICAL, LLC",
            "address_2": "1565 J STREET",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "425-778-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-778-4421"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Erin May
• Audrey Maynor
• Kevin John McAlerney, BS, CMT, NCBTMB
• Grace Elaine McAtasney, CNP
• Samantha McBride
• Elizabeth McCallion, PHD
• Carly McCameron, DPT
• Anna McClure
• Dylan McClure
• Samuel Dallas McComber, RN

• Durable Medical Equipment & Medical Supplies in Arcata, CA
• Providers in Arcata, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.