Provider Demographics
NPI:1316086051
Name:THE HEARING AID CENTER
Entity type:Organization
Organization Name:THE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KASICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-221-1729
Mailing Address - Street 1:2783 BECHELLI LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1924
Mailing Address - Country:US
Mailing Address - Phone:530-221-1729
Mailing Address - Fax:
Practice Address - Street 1:2783 BECHELLI LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1924
Practice Address - Country:US
Practice Address - Phone:530-221-1729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2606332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0026060Medicaid
CA0895470001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #