Provider Demographics
NPI:1912441411
Name:THE HEARING AID COMPANY
Entity Type:Organization
Organization Name:THE HEARING AID COMPANY
Other - Org Name:HEARING AID COMPANY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/HEARING CARE SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-662-2765
Mailing Address - Street 1:425 COLLEGE DRIVE SOUTH, SUITE #16
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301
Mailing Address - Country:US
Mailing Address - Phone:701-662-2765
Mailing Address - Fax:701-662-2765
Practice Address - Street 1:425 COLLEGE DRIVE SOUTH, SUITE #16
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301
Practice Address - Country:US
Practice Address - Phone:701-662-2765
Practice Address - Fax:701-662-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1469026Medicaid