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Organization
FIRE AUDIOLOGICAL SERVICES P.C.
Active
Organization
FIRE AUDIOLOGICAL SERVICES P.C.
Active
Other names
Fire Audiology & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A ROGALLA (FINANCIAL COORDINATOR)
(701) 787-5862
Entity
Organization
Contact information
Practice address
121 NORTH WASHINGTON STREET, GRAND FORKS, ND 58203-3400
(701) 787-5862
(701) 738-2371
Mailing address
121 NORTH WASHINGTON STREET, GRAND FORKS, ND 58203-3400
(701) 787-5862
(701) 738-2371
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
441
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G724FI
BLUE CROSS BLUE SHIELD
MN
05
—
51100
—
ND
01
—
FIR19598
BLUE CROSS BLUE SHIELD
ND
Enumeration date
06/26/2008
Last updated
12/13/2019
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