MEDICARE: NATIONAL HEARING CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1528133279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL HEARING CENTERS

Provider Business Mailing Address
First Line	:	5000 CHESHIRE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-3706
Country	:	US
Telephone Number	:	888-510-0766
Fax Number	:	763-268-4240

Provider Business Practice Location Address
First Line	:	1001 73RD ST
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50311-1311
Country	:	US
Telephone Number	:	515-274-9907
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. PAUL D'AMICO
Credential	:
Telephone Number	:	888-510-0766

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	01/15/2008

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