Provider Demographics
NPI:1649405853
Name:ADVANCED HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:ADVANCED HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-242-4000
Mailing Address - Street 1:337 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7510
Mailing Address - Country:US
Mailing Address - Phone:970-242-4000
Mailing Address - Fax:970-243-0974
Practice Address - Street 1:337 NORTH AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7510
Practice Address - Country:US
Practice Address - Phone:970-242-4000
Practice Address - Fax:970-243-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment