Active NPI
Clark'S Hearing Aid Service LLC
- Hearing Aid Equipment
- Mattoon, IL
National Provider Identifier
1073926994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- CLARK'S HEARING AID SERVICE LLC
- Practice address
- 913 Lake Land Blvd
Mattoon, IL 61938-5521 - Phone
- (217) 234-4110
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cole Harmon
- Title
- Owner
- Phone
- (217) 234-4110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
913 Lake Land Blvd
Mattoon, IL 61938-5521
Mailing address
913 Lake Land Blvd
Mattoon, IL 61938-5521
National Provider Directory
National Provider DirectoryLocations
913 Lake Land Blvd
Mattoon, IL 61938
Phone (217) 234-4110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1073926994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 LAKE LAND BLVD",
"city": "MATTOON",
"state": "IL",
"postal_code": "619385521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 LAKE LAND BLVD",
"city": "MATTOON",
"state": "IL",
"postal_code": "619385521",
"telephone_number": "217-234-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK'S HEARING AID SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "COLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-234-4110",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.