# FIRE AUDIOLOGICAL SERVICES P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fire Audiology & Hearing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477715910
- **Authorized official:** PATRICIA A ROGALLA (FINANCIAL COORDINATOR)
- **Authorized official phone:** (701) 787-5862

## Contact information

- **Practice address:** 121 NORTH WASHINGTON STREET, GRAND FORKS, ND 58203-3400
- **Practice address phone:** (701) 787-5862
- **Practice address fax:** (701) 738-2371
- **Mailing address:** 121 NORTH WASHINGTON STREET, GRAND FORKS, ND 58203-3400
- **Mailing address phone:** (701) 787-5862
- **Mailing address fax:** (701) 738-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 441 | ND | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 12/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1G724FI | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 51100 | — | ND |
| 01 | — | FIR19598 | BLUE CROSS BLUE SHIELD | ND |