Provider Demographics
NPI:1588287171
Name:BELTONE HEARING CENTER
Entity type:Organization
Organization Name:BELTONE HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-651-1870
Mailing Address - Street 1:2100 KANOELEHUA AVE STE B5
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5269
Mailing Address - Country:US
Mailing Address - Phone:808-959-1827
Mailing Address - Fax:808-981-2472
Practice Address - Street 1:2100 KANOELEHUA AVE STE B5
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5269
Practice Address - Country:US
Practice Address - Phone:808-959-1827
Practice Address - Fax:808-981-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1861611030OtherTESTING AND FITTING HEARING AIDS