NPIMap

Organization Active NPI

Augustana College

  • Audiologist-Hearing Aid Fitter
  • Rock Island, IL
National Provider Identifier
1831433416
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147.001413 Issued in IL
Legal business name
AUGUSTANA COLLEGE
Practice address
639 38TH St
CSD/Brodahl Building
Rock Island, IL 61201-2210
Phone
(309) 794-7350
Fax
(309) 794-3497
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Allison M Haskill, PH.D.
Title
Center Director
Phone
(309) 794-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 147.001413 IL Primary

Addresses

Primary practice location

639 38TH St
CSD/Brodahl Building
Rock Island, IL 61201-2210

Mailing address

639 38TH St
CSD/Brodahl Building
Rock Island, IL 61201-2210
Phone (309) 794-7350

Other names 1

  • Augustana College Center for Speech, Language, and Hearing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140221000138 IL Part B Supplier - Clinic/Group Practice 4880824747 Receives reassigned benefits from 9 practitioners
Practice locations: Rock Island, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1831433416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 38TH ST",
            "address_2": "CSD/BRODAHL BUILDING",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012210",
            "telephone_number": "309-794-7350",
            "fax_number": "309-794-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 38TH ST",
            "address_2": "CSD/BRODAHL BUILDING",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012210",
            "telephone_number": "309-794-7350",
            "fax_number": "309-794-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "HASKILL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "309-794-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147.001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augustana College Center for Speech, Language, and Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.