Provider Demographics
NPI:1285955575
Name:KING HEARING AID CENTER INC
Entity type:Organization
Organization Name:KING HEARING AID CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTOLLER
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCACCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-769-8165
Mailing Address - Street 1:8001 E BLOOMINGTON FWY
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-1036
Mailing Address - Country:US
Mailing Address - Phone:952-769-8165
Mailing Address - Fax:
Practice Address - Street 1:3522 G ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0691
Practice Address - Country:US
Practice Address - Phone:209-626-4548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment