Provider Demographics
NPI:1235659327
Name:NORTHLAND HEARING CENTER, INC.
Entity Type:Organization
Organization Name:NORTHLAND HEARING CENTER, INC.
Other - Org Name:ADVANCE HEARING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR OF RETAIL OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:MELONY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINCHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-286-2999
Mailing Address - Street 1:6700 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3405
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:512-607-4893
Practice Address - Street 1:24310 MOULTON PKWY STE D
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3306
Practice Address - Country:US
Practice Address - Phone:949-830-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment