Logan Audiology & Hearing Aid Center Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

License

WVA005 Issued in WV

Legal business name

LOGAN AUDIOLOGY & HEARING AID CENTER INC

Practice address

301 Stratton Street
Logan, WV 25601-3511

Phone

(304) 752-6018

Fax

(304) 752-4805

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vernon N Mullins, MANPI 1235350554

Title

President

Phone

(304) 752-6018

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon Nathaniel Mullins, M.A.

  • Audiologist
  • Logan, WV
  • NPI 1235350554

  WV

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1124193347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STRATTON STREET",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013511",
            "telephone_number": "304-752-6018",
            "fax_number": "304-752-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STRATTON STREET",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013511",
            "telephone_number": "304-752-6018",
            "fax_number": "304-752-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN AUDIOLOGY & HEARING AID CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-752-6018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WV",
            "license": "WVA005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160758000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Lester
• Lincare Inc
• Lincoln County Primary Care Center, Inc
• Lincoln County Primary Care Center, Inc.
• Living Waters Medical Center
• Logan Center Opco, LLC
• Logan Circle Health Supplies
• Logan County Board of Education
• Logan County Board of Health
• Logan County Emergency Ambulance Service

• All providers in Logan, WV
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.