NPIMap

Organization Active NPI

Centrum Hearing Services, Inc

  • Preferred Provider Organization
  • Pocatello, ID
National Provider Identifier
1790960094
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
HA-384 Issued in ID
Legal business name
CENTRUM HEARING SERVICES, INC
Practice address
804 Yellowstone Ave
Pocatello, ID 83201-4415
Phone
(208) 232-3131
Fax
(208) 233-8351
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Mr. Ronald James ConlinNPI 1568550598
Title
President
Phone
(208) 232-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X HA-384 ID Primary

Addresses

Primary practice location

804 Yellowstone Ave
Pocatello, ID 83201-4415

Mailing address

804 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 232-3131

National Provider Directory

National Provider Directory

Locations

804 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 232-3131

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": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1790960094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 YELLOWSTONE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014415",
            "telephone_number": "208-232-3131",
            "fax_number": "208-233-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 YELLOWSTONE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014415",
            "telephone_number": "208-232-3131",
            "fax_number": "208-233-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRUM HEARING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-232-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ID",
            "license": "HA-384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.