Spoon River Hearing Services Inc

LBN: Spoon River Hearing Services Inc
Spoon River Hearing Services Inc is an health care organization with primary practice located at 180 S Main St , Canton IL 61520-2608. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. Spoon River Hearing Services Inc can be contacted via phone (309) 647-0201, or through Deford, Sandi Greene via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-8950
Website:
Map and Directions
Authorized official contact:
Name: Deford, Sandi Greene M.S. CCC-A
Phone: (309) 647-0201

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000582 Illinois

Profile Details

NPI number 1003030115
LBN Legal business name Spoon River Hearing Services Inc
DBA Doing business as
Authorized official Deford, Sandi Greene M.S. CCC-A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 7th, 2014 - about 12 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 1003030115 NPPES
Illinois MEDICAID 35672291302

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