Prairie Sea Hearing Center Llc

LBN: Prairie Sea Hearing Center Llc
Prairie Sea Hearing Center Llc is an health care organization with primary practice located at 3000 N 14Th St Ste 3C , Bismarck ND 58503-0697. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is the primary health care specialty. Prairie Sea Hearing Center Llc can be contacted via phone (701) 805-8057, or through Raisen, Jay via phone (701) 805-8057.

Contact Information

Primary practice address
3000 N 14Th St Ste 3C Bismarck ND 58503-0697
Phone: (701) 805-8057
Fax: (701) 751-3168
Website:
Map and Directions
Authorized official contact:
Name: Raisen, Jay Doctor of Medicine (MD)
Phone: (701) 805-8057

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X

Profile Details

NPI number 1720687890
LBN Legal business name Prairie Sea Hearing Center Llc
DBA Doing business as
Authorized official Raisen, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2020
Last updated Dec 10th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720687890 NPPES
North Dakota MEDICAID 1477988459
North Dakota MEDICAID 1790216844

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