Provider Demographics
NPI:1386985026
Name:MOZARK HEARING CENTER, INC.
Entity type:Organization
Organization Name:MOZARK HEARING CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-781-4327
Mailing Address - Street 1:3130 WISCONSIN AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-2800
Mailing Address - Country:US
Mailing Address - Phone:417-781-4327
Mailing Address - Fax:417-624-4777
Practice Address - Street 1:3130 WISCONSIN AVE STE 1A
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-2800
Practice Address - Country:US
Practice Address - Phone:417-781-4327
Practice Address - Fax:417-624-4777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment