Provider Demographics
NPI:1689015091
Name:PRECISION HEARING CENTER, INC.
Entity type:Organization
Organization Name:PRECISION HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:602-621-3683
Mailing Address - Street 1:2230 33RD ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-7632
Mailing Address - Country:US
Mailing Address - Phone:712-336-4327
Mailing Address - Fax:888-377-0348
Practice Address - Street 1:2230 33RD ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7632
Practice Address - Country:US
Practice Address - Phone:712-336-4327
Practice Address - Fax:888-377-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-13
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1014332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment