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Contact Information

PRAIRIE SEA HEARING CENTER LLC
3000 N 14TH ST STE 3C
BISMARCK, ND58503-0697
 Phone: 701-805-8057
 Fax: 701-751-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
 

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for PRAIRIE SEA HEARING CENTER LLC

NPI # 1720687890
LBN Legal business name PRAIRIE SEA HEARING CENTER LLC
Authorized official JAY RAISEN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2020
Last updated 12/10/2020 - About 5 years ago
Identifiers
ND Medicaid 1477988459
ND Medicaid 1790216844
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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