NPIMap

Organization Active NPI

Greenlund Enterprises

Doing business as Miracle Ear Centers

  • Hearing Instrument Specialist
  • Marquette, MI
National Provider Identifier
1932255981
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
GREENLUND ENTERPRISES
Doing business as
Miracle Ear Centers
Practice address
565 County Rd HQ
Suite 5
Marquette, MI 49855-8855
Phone
(906) 228-3577
Fax
(906) 228-9670
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Scott R LauNPI 1407011257
Title
Owner
Phone
(715) 831-8966

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)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

565 County Rd HQ
Suite 5
Marquette, MI 49855-8855

Mailing address

1802 Galloway St
Eau Claire, WI 54703-3467
Phone (715) 831-8966

Other identifiers 1

IdentifierTypeStateIssuer
904684997MedicaidMI

Other names 1

  • Miracle Ear Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenlund Enterprises Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

565 County Road HQ
Ste 5
Marquette, MI 49855
Phone (906) 228-3577

Practitioners & affiliated clinicians

Practitioners 3

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1932255981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 GALLOWAY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033467",
            "telephone_number": "715-831-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COUNTY RD HQ",
            "address_2": "SUITE 5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558855",
            "telephone_number": "906-228-3577",
            "fax_number": "906-228-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLUND ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-831-8966"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904684997",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.