MACON RESOURCES, INC. (NPI# 1265589246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265589246 |
| Entity Type | Organization |
| Organization Name | MACON RESOURCES, INC. |
| Practice Address |
2715 N 27th St Decatur IL 62526-2171 |
| Mailing Address |
2715 N. 27th St. Decatur IL 62526 |
| Practice Telephone | 2174291052 |
| Practice Fax Number | 2174237605 |
| Mailing Telephone | 2174291052 |
| Mailing Fax Number | 2174237605 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | ANGIE NEELEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2174291052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | IL | Agencies |
| Street Address |
2715 N 27TH ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528513884 | Laura Moma | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2171 | 2016-08-16 |
| 1679895114 | Natalie Mccarthy | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2171 | 2010-02-25 |
| 1275792764 | Susan Kay Petty | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2008-06-09 |
| 1699934695 | Tracy K Barding | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2008-06-04 |
| 1013100437 | Colleen Marie Beavers | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2007-08-20 |
| 1952508426 | Lori Ann Born | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2007-06-28 |
| 1710184403 | Deborah Lynette Trump | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2007-06-27 |
| 1033315486 | Jennifer Raleigh | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2007-06-22 |
| 1114122686 | Sara M. Hickey | Speech-Language Pathologist | 2715 N 27th St, Decatur, IL 62526-2126 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1033639471 | Morgan County Health Dept Std | Public Health or Welfare | 3821 Us Highway 31 S, Decatur, AL 35603-1637 | 2017-06-27 |
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1700296084 | Mississippi State Department of Health | Public Health or Welfare | 15776 Highway 15, Decatur, MS 39327-7214 | 2014-05-07 |
| 1114197530 | State of Alabama | Public Health or Welfare | 507 14th St Se, Decatur, AL 35601-5907 | 2008-03-03 |
| 1629434758 | Orion Psychotherapy, LLC | Public Health or Welfare | 317 W Hill St, Decatur, GA 30030-4367 | 2016-01-05 |
| 1275946899 | Rite Aid | Public Health or Welfare | 1526 6th Ave Se, Decatur, AL 35601-4918 | 2014-06-11 |
| 1487789491 | State of Alabama Department of Public Health | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-22 |
| 1558405324 | Morgan County Health Dept Prev Health Ed | Public Health or Welfare | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-16 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.