Organization
MADISON COUNTY MEDICAL EQUIPMENT INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
JACKSON MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1504 S MARSHALL ST, BOONE, IA 50036-5311
(515) 432-0960
(515) 432-0954
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5864
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216432
—
IA
01
—
22151
WELLMARK BCBS
IA
01
—
61271
COVENTRY HEALTHCARE
IA
Enumeration date
02/20/2006
Last updated
10/14/2025
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