Organization
HEARING CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M REXRODE (OWNER)
(336) 659-9569
Entity
Organization
Contact information
Practice address
3111 MAPLEWOOD AVE, SUITE 107, WINSTON SALEM, NC 27103-3906
(336) 659-9569
(336) 768-8379
Mailing address
3111 MAPLEWOOD AVE, SUITE 107, WINSTON SALEM, NC 27103-3906
(336) 659-9569
(336) 768-8379
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4289
NC
231H00000X
Audiologist
6712
NC
237700000X
Hearing Instrument Specialist
598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#01629
BCBS
NC
01
—
045HV
BCBS
NC
01
—
2723795
AETRNA
NC
01
—
42343
PARTNERS
NC
05
—
7211722
—
NC
01
—
7640200
AETNA
NC
Enumeration date
11/02/2005
Last updated
06/10/2010
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