Provider Demographics
NPI:1336363340
Name:DELAMATER BELTONE HEARIING AID CENTER
Entity Type:Organization
Organization Name:DELAMATER BELTONE HEARIING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELAMATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-832-5944
Mailing Address - Street 1:4801 WILSON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4703
Mailing Address - Country:US
Mailing Address - Phone:661-832-5944
Mailing Address - Fax:661-832-4714
Practice Address - Street 1:4801 WILSON RD
Practice Address - Street 2:SUITE A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4703
Practice Address - Country:US
Practice Address - Phone:661-832-5944
Practice Address - Fax:661-832-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA1945237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0019450Medicaid