Healthcare Provider Details

I. General information

NPI: 1326411984
Provider Name (Legal Business Name): BELTONE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BENTON RD STE D
BOSSIER CITY LA
71111-4749
US

IV. Provider business mailing address

1407 LAGO TRL STE 100
LONGVIEW TX
75604-2751
US

V. Phone/Fax

Practice location:
  • Phone: 318-629-4188
  • Fax: 318-629-4190
Mailing address:
  • Phone: 903-247-3444
  • Fax: 903-247-3853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number1188
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. APRIL RANGEL
Title or Position: OWNER
Credential: H.I.S.
Phone: 903-247-3444