Maracon Health Care Services, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARACON HEALTH CARE SERVICES, INC

Practice address

1595 Selby Avenue
Suite 201
St Paul, MN 55104-6285

Phone

(651) 641-0895

Fax

(651) 641-0894

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Onyedimma Nwachuku

Title

Chief of Operations

Phone

(651) 641-0895

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1982679700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVENUE, SUITE 201",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551046285",
            "telephone_number": "651-641-0895",
            "fax_number": "651-641-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVENUE",
            "address_2": "SUITE 201",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551046285",
            "telephone_number": "651-641-0895",
            "fax_number": "651-641-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARACON HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "NWACHUKU",
        "authorized_official_first_name": "ONYEDIMMA",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "651-641-0895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70G05MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Mantell, PHD, L.P.
• John Manz, LICSW / M.DIV
• Catherine D Mapa
• Alyssa Maples
• Sarah Rose Maracle, LICSW
• Evan Jean Maraghy
• Reece Maranda, PT, DPT
• Laura Marass
• Heimay Marblut
• Ivana Marchenko

• Durable Medical Equipment & Medical Supplies in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.