NPIMap

Organization Active NPI

Versatile Hearing Service

  • Hearing Aid Equipment
  • Jackson, MI
National Provider Identifier
1851360549
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
3501002419 Issued in MI
Legal business name
VERSATILE HEARING SERVICE
Doing business as
Beltone Hearing Aid Center
Practice address
2404 Wildwood Ave
Jackson, MI 49202-3927
Phone
(517) 788-7677
Fax
(517) 788-7679
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Susan Marie Waite, NBC-HIS
Title
Owner, President
Phone
(517) 788-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 3501002419 MI Primary

Addresses

Primary practice location

2404 Wildwood Ave
Jackson, MI 49202-3927

Mailing address

2404 Wildwood Ave
Jackson, MI 49202-3927
Phone (517) 788-7677

Other identifiers 3

IdentifierTypeStateIssuer
903257607MedicaidMI
540C802820OtherMIBCBSM PIN NUMBER
905258069MedicaidMI

Other names 1

  • Beltone Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone Hearing Aid Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2404 Wildwood Ave
Jackson, MI 49202
Phone (517) 788-7677

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1851360549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023927",
            "telephone_number": "517-788-7677",
            "fax_number": "517-788-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023927",
            "telephone_number": "517-788-7677",
            "fax_number": "517-788-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSATILE HEARING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "517-788-7677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NBC-HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "3501002419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903257607",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN NUMBER",
            "identifier": "540C802820",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905258069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.