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
121 E MADISON ST, WINTERSET, IA 50273
(515) 462-4172
(515) 462-2415
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
5817
IA
333600000X
Pharmacy
1121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207092
—
IA
01
—
09162
WELLMARK BCBS
IA
01
—
139886000
US DEPT OF LABOR
IA
01
—
400307
BLACK LUNG FEDERAL
IA
01
—
61271
COVENTRY HEALTHCARE
IA
05
—
625702600
—
MO
Enumeration date
02/20/2006
Last updated
10/14/2025
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