NPIMap

Organization Active NPI

Audio Hearing Aid Center of Centralia

  • Hearing Aid Equipment
  • Centralia, IL
National Provider Identifier
1336475433
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
1386 Issued in IL
Legal business name
AUDIO HEARING AID CENTER OF CENTRALIA
Practice address
416 E 2ND St
Centralia, IL 62801-3513
Phone
(618) 532-8452
Fax
(618) 532-5611
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mrs. Mary Jane HardyNPI 1689881328
Title
Owner/Hearing Aid Specialist
Phone
(618) 532-8452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 1386 IL Primary

Addresses

Primary practice location

416 E 2ND St
Centralia, IL 62801-3513

Mailing address

416 E 2ND St
Centralia, IL 62801-3513
Phone (618) 532-8452

National Provider Directory

National Provider Directory

Locations

416 E 2nd St
Centralia, IL 62801
Phone (618) 532-8452

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1336475433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E 2ND ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013513",
            "telephone_number": "618-532-8452",
            "fax_number": "618-532-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E 2ND ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013513",
            "telephone_number": "618-532-8452",
            "fax_number": "618-532-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIO HEARING AID CENTER OF CENTRALIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/HEARING AID SPECIALIST",
        "authorized_official_telephone_number": "618-532-8452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.