Organization Active NPI

Northland US LLC

  • Hearing Instrument Specialist
  • Sparta, IL
National Provider Identifier
1962442970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2637 Issued in IL
Legal business name
NORTHLAND US LLC
Practice address
100 S Market St
Sparta, IL 62286-2062
Phone
(618) 443-6233
Fax
(618) 443-5834
NPI assigned
Jun 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Holtz
Title
General Manager
Phone
(952) 486-8734

National Provider Directory

National Provider Directory
Tax ID family
Family Care Hearing3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

100 S Market St
Sparta, IL 62286
Phone (618) 443-1100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2637 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

100 S Market St
Sparta, IL 62286-2062

Mailing address

100 S Market St
Sparta, IL 62286-2062
Phone (618) 443-6233

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2832016OtherILBLUE CROSS BLUE SHIELD IL

Other names 1

NPPES NPI Registry
  • Family Care Hearing Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962442970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862062",
            "telephone_number": "618-443-6233",
            "fax_number": "618-443-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862062",
            "telephone_number": "618-443-6233",
            "fax_number": "618-443-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND US LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "952-486-8734"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "2832016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, IL

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.