Organization Active NPI

Northland Hearing Centers, Inc.

  • Hearing Instrument Specialist
  • Marion, IL
National Provider Identifier
1144274259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2767 Issued in IL
Legal business name
NORTHLAND HEARING CENTERS, INC.
Practice address
1805 W Main St
Marion, IL 62959-1157
Phone
(618) 998-0438
Fax
(618) 998-1789
NPI assigned
May 22, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Holtz
Title
General Manager
Phone
(952) 486-8734

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Northland Hearing Cntrs Inc (922 organizations share this tax ID)

Locations

1805 W Main St
Marion, IL 62959
Phone (618) 998-0438

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2767 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1805 W Main St
Marion, IL 62959-1157

Mailing address

1805 W Main St
Marion, IL 62959-1157
Phone (618) 998-0438

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2832016OtherILBLUE CROSS BLUE SHIELD IL

Other names 1

NPPES NPI Registry
  • All American Hearing Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144274259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591157",
            "telephone_number": "618-998-0438",
            "fax_number": "618-998-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591157",
            "telephone_number": "618-998-0438",
            "fax_number": "618-998-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "952-486-8734"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "2832016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.