MEDICARE: ALLIANCE CENTER FOR HEARING

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
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1710568597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE CENTER FOR HEARING

Provider Business Mailing Address
First Line	:	4900 OTTAWA ST STE 300
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-6156
Country	:	US
Telephone Number	:	701-751-6232
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 OTTAWA ST STE 300
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-6156
Country	:	US
Telephone Number	:	701-527-6573
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/AUDIOLOGIST
Name	:	DR. AMANDA DAWN LEDDIGE
Credential	:	AU.D.
Telephone Number	:	701-751-6232

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	01/17/2022

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Directions to “ALLIANCE CENTER FOR HEARING ” Practice Location

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