Organization Active NPI

Amdahl Hearing LLC

  • Audiologist-Hearing Aid Fitter
  • Saint Cloud, MN
National Provider Identifier
1821168568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
7183 Issued in MN
Legal business name
AMDAHL HEARING LLC
Practice address
606 25TH Ave S
Ste 107
Saint Cloud, MN 56301-4800
Phone
(320) 252-0094
Fax
(320) 252-0365
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erica Lynn Amdahl, MA
Title
President
Phone
(320) 252-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 7183 MN Primary

Addresses

Primary practice location

606 25TH Ave S
Ste 107
Saint Cloud, MN 56301-4800

Mailing address

606 25TH Ave S
Ste 107
Saint Cloud, MN 56301-4800
Phone (320) 252-0094

National Provider Directory

National Provider Directory

Locations

710 Broadway St
Rm 109
Alexandria, MN 56308
Phone (866) 283-4235

606 3rd Ave W
Alexandria, MN 56308
Phone (320) 298-4632

2848 2nd St S
Ste 175
Saint Cloud, MN 56301

2848 2nd St S
Ste 145
Saint Cloud, MN 56301
Phone (320) 252-0094

606 25th Ave S
Ste 107
Saint Cloud, MN 56301
Phone (320) 252-0094

Practitioners & affiliated clinicians

Practitioners 4

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821168568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 25TH AVE S",
            "address_2": "STE 107",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014800",
            "telephone_number": "320-252-0094",
            "fax_number": "320-252-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 25TH AVE S",
            "address_2": "STE 107",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014800",
            "telephone_number": "320-252-0094",
            "fax_number": "320-252-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDAHL HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMDAHL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-252-0094",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "7183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

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.

Verify at the official NPI Registry.