Organization Active NPI

Amdahl Hearing Alexandria, LLC

  • Audiologist-Hearing Aid Fitter
  • Alexandria, MN
National Provider Identifier
1215159165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
7831 Issued in MN
Legal business name
AMDAHL HEARING ALEXANDRIA, LLC
Practice address
710 Broadway St
Alexandria, MN 56308-1812
Phone
(320) 759-1764
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erica Amdahl, MA
Title
Ceo
Phone
(320) 252-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 7831 MN Primary

Addresses

Primary practice location

710 Broadway St
Alexandria, MN 56308-1812

Mailing address

710 Broadway St
Alexandria, MN 56308-1812
Phone (320) 759-1764

National Provider Directory

National Provider Directory

Locations

710 Broadway St
Alexandria, MN 56308
Phone (320) 759-1764

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215159165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081812",
            "telephone_number": "320-759-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081812",
            "telephone_number": "320-759-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDAHL HEARING ALEXANDRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMDAHL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-252-0094",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "7831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

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.