Active NPI
Audiology Center Inc.
- Audiologist
- Willmar, MN
National Provider Identifier
1275615445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- AUDIOLOGY CENTER INC.
- Practice address
- 1801 19TH Ave SW
Willmar, MN 56201-4946 - Phone
- (320) 214-7256
- Fax
- (320) 214-7866
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deb Allen
- Title
- Office Manager
- Phone
- (320) 214-7256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1801 19TH Ave SW
Willmar, MN 56201-4946
Mailing address
1801 19TH Ave SW
Willmar, MN 56201-4946
Phone (320) 214-7256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95527 | Other | HEALTH PARTNERS | |
| 7G478AU | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2320 Highway 12 E
Ste 5
Willmar, MN 56201
Phone (320) 214-7256
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Willmar, MN
- NPI 1902816465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275615445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 19TH AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014946",
"telephone_number": "320-214-7256",
"fax_number": "320-214-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 19TH AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014946",
"telephone_number": "320-214-7256",
"fax_number": "320-214-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DEB",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "320-214-7256"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "95527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7G478AU",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, 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.