Provider Demographics
NPI:1780837302
Name:ACCUCARE AUDIOLOGY & HEARING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ACCUCARE AUDIOLOGY & HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:218-454-3277
Mailing Address - Street 1:14275 GOLF COURSE RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8670
Mailing Address - Country:US
Mailing Address - Phone:218-454-3277
Mailing Address - Fax:
Practice Address - Street 1:14275 GOLF COURSE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8670
Practice Address - Country:US
Practice Address - Phone:218-454-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7579231H00000X, 261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty