NPIMap

Organization Active NPI

Chac Inc

  • Hearing Aid Equipment
  • Pensacola, FL
National Provider Identifier
1508912924
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
AS 1379 Issued in FL
Legal business name
CHAC INC
Practice address
115 N Palafox St
Pensacola, FL 32502-4838
Phone
(850) 438-4092
Fax
(850) 438-4095
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Ms. Patricia J Russo, BC-HISNPI 1164578506
Title
President/Owner
Phone
(850) 438-4092

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AY1294 FL
Speech/Language/Hearing Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 235500000X AY1294 FL
Speech/Language/Hearing Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 235500000X AS 1379 FL
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AY1294 FL
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X AS 1379 FL
Durable Medical Equipment & Medical Supplies 332B00000X AS 1379 FL
Hearing Aid Equipment 332S00000X AS 1379 FL Primary
Hearing Aid Equipment 332S00000X AY1294 FL

Addresses

Primary practice location

115 N Palafox St
Pensacola, FL 32502-4838

Mailing address

115 N Palafox St
Pensacola, FL 32502-4838
Phone (850) 438-4092

Other identifiers 6

IdentifierTypeStateIssuer
T-0094OtherFLBCBS
085155800MedicaidFL
161297600OtherFLACS PROVIDER NUMBER
085429800MedicaidFL
085155802MedicaidFL
J-0195OtherFLUAW

Other names 1

  • Professional Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

115 N Palafox St
Pensacola, FL 32502
Phone (850) 438-4092

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1508912924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024838",
            "telephone_number": "850-438-4092",
            "fax_number": "850-438-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024838",
            "telephone_number": "850-438-4092",
            "fax_number": "850-438-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-438-4092",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1294",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "FL",
            "license": "AY1294",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "FL",
            "license": "AS 1379",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY1294",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS 1379",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "AS 1379",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS 1379",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AY1294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T-0094",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085155800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS PROVIDER NUMBER",
            "identifier": "161297600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085429800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085155802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UAW",
            "identifier": "J-0195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.