Organization Name: | NORTHLAND HEARING CENTERS, INC. |
NPI Number: | 1003056375 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY L. LONGTAIN (PRESIDENT) |
Mailing Address: | 4121 W. State Street Boise |
State: | ID US |
Postal Code: | 83703 |
Phone Number: | 2088532650 |
Fax Number: | 2088537333 |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |