Provider Demographics
NPI:1548969330
Name:COMMUNICATION INNOVATIONS, INC
Entity type:Organization
Organization Name:COMMUNICATION INNOVATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HOUDEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-772-7161
Mailing Address - Street 1:5885 PERSIMMON DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5007
Mailing Address - Country:US
Mailing Address - Phone:608-772-2161
Mailing Address - Fax:
Practice Address - Street 1:807 LIBERTY DR STE 106
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-9160
Practice Address - Country:US
Practice Address - Phone:608-819-6394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center