Northland Hearing Centers, Inc.
Organization Active NPI Hearing and Speech Clinic/Center · Fond Du Lac, WI
NPI 1124456348 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1124456348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- Legal business name
- NORTHLAND HEARING CENTERS, INC.
- Practice address
- 481 E Division St Ste 900
Fond Du Lac, WI 54935-3752 - Phone
- (920) 926-1288
- Fax
- (855) 239-7375
- NPI assigned
- Oct 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Xue Xiong
- Title
- Regional Support Specialist
- Phone
- (763) 292-4745
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Northland Hearing Cntrs Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter |
237600000X | WI | ||
| Hearing and Speech Clinic/Center | 261QH0700X | Yes |
Addresses
Primary practice location
481 E Division St Ste 900
Fond Du Lac, WI 54935-3752
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Other names
- Pickart Hearing Service
NPI Registry JSON
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1124456348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 E DIVISION ST STE 900",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549353752",
"telephone_number": "920-926-1288",
"fax_number": "855-239-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLAND HEARING CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-25",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "XIONG",
"authorized_official_first_name": "XUE",
"authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
"authorized_official_telephone_number": "763-292-4745"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pickart Hearing Service",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.