Organization Active NPI

Platte Valley Hearing Center, Inc.

  • Audiologist-Hearing Aid Fitter
  • Fort Morgan, CO
National Provider Identifier
1881835304
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
CO100 Issued in CO
Legal business name
PLATTE VALLEY HEARING CENTER, INC.
Practice address
409 E Platte Ave
Fort Morgan, CO 80701-3335
Phone
(970) 867-9993
Fax
(970) 867-0622
NPI assigned
Mar 12, 2009
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Dr. Alexandra F. Keenan, AU.D.NPI 1255365524
Title
Doctor Or Audiology, Owner
Phone
(970) 867-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X CO100 CO Primary

Addresses

Primary practice location

409 E Platte Ave
Fort Morgan, CO 80701-3335

Mailing address

409 E Platte Ave
Fort Morgan, CO 80701-3335
Phone (970) 867-9993

Other identifiers 1

IdentifierTypeStateIssuer
46122877MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100126000639 CO Part B Supplier - Clinic/Group Practice 3476695636 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Morgan, CO

National Provider Directory

National Provider Directory

Locations

417 Main St
Fort Morgan, CO 80701
Phone (970) 867-9993

121 N 2nd St
Sterling, CO 80751

Practitioners & affiliated clinicians

Practitioners 5

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": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1881835304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013335",
            "telephone_number": "970-867-9993",
            "fax_number": "970-867-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013335",
            "telephone_number": "970-867-9993",
            "fax_number": "970-867-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE VALLEY HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DOCTOR OR AUDIOLOGY, OWNER",
        "authorized_official_telephone_number": "970-867-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "CO100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46122877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.