Provider Demographics
NPI:1750573341
Name:PAYNE COMMUNICATIONS, INC.
Entity type:Organization
Organization Name:PAYNE COMMUNICATIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-241-2200
Mailing Address - Street 1:1890 PARK MARINA DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0961
Mailing Address - Country:US
Mailing Address - Phone:530-241-2200
Mailing Address - Fax:530-241-3200
Practice Address - Street 1:1890 PARK MARINA DR
Practice Address - Street 2:SUITE 105
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0961
Practice Address - Country:US
Practice Address - Phone:530-241-2200
Practice Address - Fax:530-241-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3049332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0029760Medicaid
CAHA0030490Medicaid