Provider Demographics
NPI:1235808874
Name:MACKAY SERVICE INC.
Entity Type:Organization
Organization Name:MACKAY SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULPATRICK
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:MACKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-386-8513
Mailing Address - Street 1:21 PARK ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1265
Mailing Address - Country:US
Mailing Address - Phone:315-386-8513
Mailing Address - Fax:
Practice Address - Street 1:21 PARK ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1265
Practice Address - Country:US
Practice Address - Phone:315-386-8513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)