Organization
NORTHLAND HEARING CENTERS, INC.
Active
Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Center for Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(702) 798-0113
Entity
Organization
Contact information
Practice address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(952) 947-4700
(952) 828-6946
Mailing address
1001 E SUNSET RD, UNIT 96595, LAS VEGAS, NV 89193-1246
(702) 798-0113
(866) 291-5242
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
10/11/2011
Last updated
09/16/2015
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