Organization
SELECT HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CHARLES SIMMONS BC-HIS (OWNER)
(320) 252-1341
Entity
Organization
Contact information
Practice address
3333 W DIVISION ST, STE 115, SAINT CLOUD, MN 56301-4548
(320) 252-1341
(320) 252-1383
Mailing address
3333 W DIVISION ST, STE 115, SAINT CLOUD, MN 56301-4548
(320) 252-1341
(320) 252-1383
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
2011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83043MI
BCBS PROVIDER ID #
MN
Enumeration date
06/22/2005
Last updated
08/22/2020
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