Provider Demographics
NPI:1457722936
Name:MOREHOUSE HEARING AID CENTERS LLC
Entity type:Organization
Organization Name:MOREHOUSE HEARING AID CENTERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOREHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:907-274-7700
Mailing Address - Street 1:270 W 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3977
Mailing Address - Country:US
Mailing Address - Phone:907-274-7700
Mailing Address - Fax:907-274-7710
Practice Address - Street 1:270 W 34TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3977
Practice Address - Country:US
Practice Address - Phone:907-274-7700
Practice Address - Fax:907-274-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK104458237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty