Active NPI
Killean Audiology & Hearing Aid CTRS
- Audiologist-Hearing Aid Fitter
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- KILLEAN AUDIOLOGY & HEARING AID CTRS
- Practice address
- 1601 52ND Ave
Suite 6
Moline, IL 61265 - Phone
- (309) 762-6467
- Fax
- (309) 762-7218
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Patricia K Stark, NBC HIS
- Title
- Dispenser
- Phone
- (563) 242-7852
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NU | Primary |
Addresses
Primary practice location
1601 52ND Ave
Suite 6
Moline, IL 61265
Mailing address
206 4TH Ave S
Clinton, IA 52732
Phone (563) 242-7852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093153 | Medicaid | IA | |
| 0184481 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Killean Audiology Hearing Aid Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Killean Audiology & Hearing Aid Center
- Hearing Instrument Specialist
- Clinton, IA
- NPI 1306077490
Practitioners & affiliated clinicians
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.
-
- Hearing Instrument Specialist
- Clinton, IA
- NPI 1821235268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801934567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 4TH AVE S",
"city": "CLINTON",
"state": "IA",
"postal_code": "52732",
"telephone_number": "563-242-7852",
"fax_number": "563-242-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 52ND AVE",
"address_2": "SUITE 6",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-762-6467",
"fax_number": "309-762-7218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KILLEAN AUDIOLOGY & HEARING AID CTRS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DISPENSER",
"authorized_official_telephone_number": "563-242-7852",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NBC HIS"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0093153",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0184481",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
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.