Organization Active NPI

Northland Hearing Centers, Inc.

Doing business as Family Care Hearing

  • Hearing Instrument Specialist
  • Marion, IL
National Provider Identifier
1245287119
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2741 Issued in IL
Legal business name
NORTHLAND HEARING CENTERS, INC.
Doing business as
Family Care Hearing
Practice address
2300 W Main St
Suite C
Marion, IL 62959-1179
Phone
(618) 993-1406
Fax
(618) 993-5519
NPI assigned
May 27, 2006
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
Mark Holtz
Title
General Manager
Phone
(952) 486-8734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2741 IL Primary

Addresses

Primary practice location

2300 W Main St
Suite C
Marion, IL 62959-1179

Mailing address

2300 W Main St
Suite C
Marion, IL 62959-1179
Phone (618) 993-1406

Other identifiers 1

IdentifierTypeStateIssuer
2832016OtherILBLUE CROSS BLUE SHIELD IL

Other names 1

  • Family Care Hearing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Hearing CTRS Inc928 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2300 W Main St
Ste C
Marion, IL 62959
Phone (618) 993-1406

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245287119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MAIN ST",
            "address_2": "SUITE C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591179",
            "telephone_number": "618-993-1406",
            "fax_number": "618-993-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MAIN ST",
            "address_2": "SUITE C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591179",
            "telephone_number": "618-993-1406",
            "fax_number": "618-993-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "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": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "2832016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care 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.