Provider Demographics
NPI:1457970337
Name:COLUSA HEARING AID CENTER
Entity type:Organization
Organization Name:COLUSA HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:530-458-3531
Mailing Address - Street 1:439 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:COLUSA
Mailing Address - State:CA
Mailing Address - Zip Code:95932-2423
Mailing Address - Country:US
Mailing Address - Phone:530-458-3531
Mailing Address - Fax:530-458-3532
Practice Address - Street 1:439 MARKET ST
Practice Address - Street 2:
Practice Address - City:COLUSA
Practice Address - State:CA
Practice Address - Zip Code:95932-2423
Practice Address - Country:US
Practice Address - Phone:530-458-3531
Practice Address - Fax:530-458-3532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty