1144520727 NPI number — ACCUQUEST HEARING CENTERS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144520727 NPI number — ACCUQUEST HEARING CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCUQUEST HEARING CENTERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144520727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 W HIGGINS ROAD
Provider Second Line Business Mailing Address:
SUITE 895
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-843-1900
Provider Business Mailing Address Fax Number:
847-843-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 W CLARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBERT LEA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56007-2547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-373-6038
Provider Business Practice Location Address Fax Number:
507-369-0225
Provider Enumeration Date:
10/28/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CARLSON
Authorized Official First Name:
ASHLIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CORP. CLAIMS & CONTRACTING MANAGER
Authorized Official Telephone Number:
847-843-1900

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)