NORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER (NORTHLAND HEARING CENTERS, INC.) NPI 1023290228

Clinic/Center (Hearing and Speech) in Effingham, IL

NPI 1023290228 Organization Clinic/Center Hearing and Speech

About NORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER (NORTHLAND HEARING CENTERS, INC.)

Northland Hearing Centers, Inc. Dba Family Care Hearing Center (northland Hearing Centers, Inc.) is a provider established in Effingham, Illinois specializing in clinic/center (hearing and speech) . The NPI number of Northland Hearing Centers, Inc. Dba Family Care Hearing Center (northland Hearing Centers, Inc.) is 1023290228 and was assigned on November 2007. The practitioner's primary taxonomy code is 261QH0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Northland Hearing Centers, Inc. Dba Family Care Hearing Center. The authorized official of this NPI record is Charles Lewis Laytart (Credentialing Specialist)

NPI

1023290228

Provider NameNORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER (NORTHLAND HEARING CENTERS, INC.)
Provider Location Address400 W CLARK AVE STE 107 EFFINGHAM, IL 62401
Provider Mailing Address6700 WASHINGTON AVE S EDEN PRAIRIE, MN 55344
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER
Other Name TypeDoing Business As (3)
Enumeration Date11-29-2007
Last Update Date07-19-2019


Primary Taxonomy

Taxonomy Code261QH0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHearing and Speech
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

Business Address

NORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER
400 W CLARK AVE STE 107
EFFINGHAM, IL
ZIP 62401
Phone: (217) 347-7204
Fax: (217) 347-9409

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Mailing Address

NORTHLAND HEARING CENTERS, INC. DBA FAMILY CARE HEARING CENTER
6700 WASHINGTON AVE S
EDEN PRAIRIE, MN
ZIP 55344
Phone: (612) 351-1529



Authorized Official

Authorized Official Name CHARLES LEWIS LAYTART
Authorized Official TitleCREDENTIALING SPECIALIST
Authorized Official Phone(952) 915-6248

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.