NPI 1790960094

Centrum Hearing Services, INC

Organisation Preferred Provider Organization Pocatello, ID

Practice location

Address: 804 Yellowstone Ave, Pocatello, ID 83201-4415
Phone: (208) 232-3131
Fax: (208) 233-8351

Authorised official

Name: Ronald James Conlin
Title: President
Phone: (208) 232-3131

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence HA-384 (ID)

Other Preferred Provider Organization providers in Idaho →

Registry record

NPI: 1790960094
Entity type: Organization
NPI issued: 4 Jan 2008
Record last updated: 4 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.