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
702 S GILBERT ST STE 110, IOWA CITY, IA 52240-1738
(319) 569-8888
(866) 769-8054
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207092
—
IA
01
—
09162
BLUE CROSS
IA
Enumeration date
06/16/2009
Last updated
10/14/2025
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