Provider Demographics
NPI:1235581810
Name:BELTONE HEARING CENTER
Entity Type:Organization
Organization Name:BELTONE HEARING CENTER
Other - Org Name:GN RESOUND
Other - Org Type:Other Name
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KIMBERLEY
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:253-335-9366
Mailing Address - Street 1:2310 MILDRED ST W
Mailing Address - Street 2:STE, 134
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6036
Mailing Address - Country:US
Mailing Address - Phone:253-565-0954
Mailing Address - Fax:253-565-3300
Practice Address - Street 1:2310 MILDRED ST W
Practice Address - Street 2:STE, 134
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-6036
Practice Address - Country:US
Practice Address - Phone:253-565-0954
Practice Address - Fax:253-565-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60615539237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASWANSAK152M3OtherDRIVERS LICENSE