Community Hearing Center LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

1601000599 Issued in MI

Legal business name

COMMUNITY HEARING CENTER LLC

Doing business as

Community Hearing Center

Practice address

2027 4TH St
Jackson, MI 49203-4572

Phone

(740) 804-1131

NPI assigned

Mar 15, 2017

Last updated

May 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelli L Bogue, AU.D.NPI 1154604064

Title

Owner/Audiologist

Phone

(517) 817-6017

Specialties & licenses 1

Addresses

Other names 2

• Community Hearing Center Doing business as
• Community Hearing Center LLC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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.

• Kelli Lynn Bogue, AU.D.

  • Audiologist
  • Jackson, MI
  • NPI 1154604064
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1568903185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "740-804-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "740-804-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "BOGUE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "517-817-6017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MI",
            "license": "1601000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Hearing Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Hearing and Speech Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.