Provider Demographics
NPI:1942526462
Name:AREA HEARING CENTER, LLC
Entity type:Organization
Organization Name:AREA HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARA
Authorized Official - Middle Name:ROYSTER
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:252-430-7744
Mailing Address - Street 1:857 S BECKFORD DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-3486
Mailing Address - Country:US
Mailing Address - Phone:252-430-7744
Mailing Address - Fax:252-430-0917
Practice Address - Street 1:857 S BECKFORD DR
Practice Address - Street 2:SUITE H
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-3486
Practice Address - Country:US
Practice Address - Phone:252-430-7744
Practice Address - Fax:252-430-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4578237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211020Medicaid
NC7400006Medicaid
NC7411476Medicaid
NC11852OtherBCBS
NC7001565Medicaid
NC3404255Medicaid
=========OtherCIGNA HEALTHCARE