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PRAIRIE SEA HEARING CENTER LLC NPI 1720687890


NPI Information

NPI: 1720687890
Provider Name: PRAIRIE SEA HEARING CENTER LLC
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Organization
Address:
3000 N 14TH ST STE 3C
BISMARCK, ND
ZIP 58503
Phone: (701) 805-8057
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PRAIRIE SEA HEARING CENTER LLC is an audiologist hearing aid fitter in Bismarck, ND. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. PRAIRIE SEA HEARING CENTER LLC NPI is 1720687890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3000 N 14TH ST STE 3C
BISMARCK, ND
ZIP 58503-697
Phone: (701) 805-8057
Fax: (701) 751-3168

The provider's authorized official is Jay Raisen .
The authorized official title is Physician and has the following contact phone number (701) 805-8057.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 12/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologistNo
2237600000XAudiologist-Hearing Aid FitterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477988459MEDICAIDNORTH DAKOTA
21790216844MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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