Provider Demographics
NPI:1265416218
Name:BELTONE HEARING AID CENTER
Entity type:Organization
Organization Name:BELTONE HEARING AID CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BEDSAUL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:336-774-1113
Mailing Address - Street 1:751 BETHESDA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3301
Mailing Address - Country:US
Mailing Address - Phone:336-774-1113
Mailing Address - Fax:336-774-1467
Practice Address - Street 1:751 BETHESDA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3301
Practice Address - Country:US
Practice Address - Phone:336-774-1113
Practice Address - Fax:336-774-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2601231H00000X, 231HA2400X
NC690/226237700000X
NC2601/690237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412001Medicaid
NC561729201OtherID NUMBER
NC7211385Medicaid
NC0126VOtherBCBS OF NC
NC3404118Medicaid
NC56152OtherPARTNERS
NC7412001Medicaid
NC7211385Medicaid