MEDICARE: BURNEY HEARING AID CENTER INC.

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	:	1578719977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURNEY HEARING AID CENTER INC.

Provider Business Mailing Address
First Line	:	1005 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4419
Country	:	US
Telephone Number	:	760-323-8405
Fax Number	:	760-323-8723

Provider Business Practice Location Address
First Line	:	1005 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4419
Country	:	US
Telephone Number	:	760-323-8405
Fax Number	:	760-323-8723

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES T REDMON
Credential	:	HA
Telephone Number	:	760-323-8405

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	08/18/2008

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