1124129242 NPI number — MS. HILLARY QUIETT CARTER AU.D.-DOCTOR OF AUDI

Table of content: MS. HILLARY QUIETT CARTER AU.D.-DOCTOR OF AUDI (NPI 1124129242)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124129242 NPI number — MS. HILLARY QUIETT CARTER AU.D.-DOCTOR OF AUDI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTER
Provider First Name:
HILLARY
Provider Middle Name:
QUIETT
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
AU.D.-DOCTOR OF AUDI
Provider Gender Code:
F

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:
1124129242
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2626 WINNE AVENUE
Provider Second Line Business Mailing Address:
COMPREHENSIVE HEARING SERVICES
Provider Business Mailing Address City Name:
HELENA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-443-8838
Provider Business Mailing Address Fax Number:
406-443-6367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2626 WINNE AVENUE
Provider Second Line Business Practice Location Address:
COMPREHENSIVE HEARING SERVICES
Provider Business Practice Location Address City Name:
HELENA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-443-8838
Provider Business Practice Location Address Fax Number:
406-443-6367
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  1160 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: 375 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 00011176701 . This is a "UNIVERA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9200301 . This is a "IHA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 539188 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000528040001 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 569036 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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