Provider Demographics
NPI:1629595806
Name:FIVE CS COMMUNICATION CARE PLC
Entity Type:Organization
Organization Name:FIVE CS COMMUNICATION CARE PLC
Other - Org Name:AUDIOLOGY CENTER OF ST. JOHNS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER / AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:LOUISE SHOGREN
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:989-534-2020
Mailing Address - Street 1:1000 E STURGIS ST STE 8
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-2068
Mailing Address - Country:US
Mailing Address - Phone:989-534-2020
Mailing Address - Fax:989-534-2684
Practice Address - Street 1:1000 E STURGIS ST STE 8
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-2068
Practice Address - Country:US
Practice Address - Phone:989-534-2020
Practice Address - Fax:989-534-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1601000194231H00000X
MI1601000194231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty