Active NPI
Northland US LLC
- Hearing Instrument Specialist
- Sparta, IL
National Provider Identifier
1962442970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2637
- 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 Hearing
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist-Hearing Aid Fitter
- Carbondale, IL
- NPI 1285674200
-
- Hearing Instrument Specialist
- Kansas City, MO
- NPI 1205968781
Locations
100 S Market St
Sparta, IL 62286
Phone (618) 443-1100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2637 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2832016 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Other names 1
NPPES NPI Registry- Family Care Hearing
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.