Active NPI
Northland Hearing Centers, Inc.
- Hearing Instrument Specialist
- Marion, IL
National Provider Identifier
1144274259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2767
- 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
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Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Marion, IL
- NPI 1497761464
NPD (past) HEARING INSTRUMENT SPECIALIST
National Provider Directory
National Provider Directory- Tax ID family
- Northland Hearing Cntrs Inc
Locations
1805 W Main St
Marion, IL 62959
Phone (618) 998-0438
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2767 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2832016 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Other names 1
NPPES NPI Registry- All American Hearing
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.