NPIMap

Organization Active NPI

River Cities Hearing PLC

Doing business as Killean Audiology and Hearing Aid Centers

  • Audiologist
  • Clinton, IA
National Provider Identifier
1104331800
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
RIVER CITIES HEARING PLC
Doing business as
Killean Audiology and Hearing Aid Centers
Practice address
206 4TH Ave S
Clinton, IA 52732-4311
Phone
(563) 242-7852
Fax
(563) 242-0452
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tamarra Friedrichsen, AUDNPI 1720399777
Title
Owner/Audiologist
Phone
(563) 242-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X IL
Audiologist 231H00000X IA Primary
Hearing Instrument Specialist 237700000X IA
Hearing Instrument Specialist 237700000X IL

Addresses

Primary practice location

206 4TH Ave S
Clinton, IA 52732-4311

Mailing address

206 4TH Ave S
Clinton, IA 52732-4311
Phone (563) 242-7852

Other names 1

  • Killean Audiology and Hearing Aid Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171208002583 IA Part B Supplier - Clinic/Group Practice 2466719950 Receives reassigned benefits from 5 practitioners
Practice locations: Dubuque, IA; Clinton, IA
O20180117001560 IL Part B Supplier - Clinic/Group Practice 2466719950 Receives reassigned benefits from 3 practitioners
Practice locations: Clinton, IA; Moline, IL

National Provider Directory

National Provider Directory

Locations

3343 Center Grove Dr
Ste H
Dubuque, IA 52003
Phone (563) 582-1000

4900 38th Ave
Ste 4
Moline, IL 61265
Phone (309) 762-6467

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1104331800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 4TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324311",
            "telephone_number": "563-242-7852",
            "fax_number": "563-242-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 4TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324311",
            "telephone_number": "563-242-7852",
            "fax_number": "563-242-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES HEARING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICHSEN",
        "authorized_official_first_name": "TAMARRA",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "563-242-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Killean Audiology and Hearing Aid Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.