Organization
RENAISSANCE HEARING CTRS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LAWTON OJA M.S. (OWNER)
(218) 444-4444
Entity
Organization
Contact information
Practice address
612 5TH ST NW, BEMIDJI, MN 56601-2915
(218) 444-4444
(218) 444-5103
Mailing address
612 5TH ST NW, BEMIDJI, MN 56601-2915
(218) 444-4444
(218) 444-5103
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112802
UCARE
MN
05
—
158407300
—
MN
01
—
4514330
MEDICA
MN
01
—
46681
HEALTH PARTNERS
MN
01
—
75840OJ
BLUE CROSS BLUE SHIELD MN
MN
01
—
81148BE
BLUE CROSS BLUE SHIELD MN
MN
05
—
825054500
—
MN
01
—
C02928
MEDICARE GOUP
MN
Enumeration date
09/14/2007
Last updated
09/14/2007
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