Provider Demographics
NPI:1942559844
Name:BELTONE HEARING AID CENTER
Entity Type:Organization
Organization Name:BELTONE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-221-4624
Mailing Address - Street 1:1770 CHURN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0263
Mailing Address - Country:US
Mailing Address - Phone:530-221-4624
Mailing Address - Fax:530-221-0339
Practice Address - Street 1:1770 CHURN CREEK RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0263
Practice Address - Country:US
Practice Address - Phone:530-221-4624
Practice Address - Fax:530-221-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization