# NORTHLAND HEARING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881184851
- **Authorized official:** CHARLES LEWIS LAYTART (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (952) 915-6248

## Contact information

- **Practice address:** 18010 R PLZ STE 107, OMAHA, NE 68135-1923
- **Practice address phone:** (800) 328-8602
- **Mailing address:** 6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
- **Mailing address phone:** (612) 351-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2018
- **Last updated:** 06/27/2019