Provider Demographics
NPI:1588992218
Name:HEARING HEALTH CLINICS MIDWEST INC
Entity type:Organization
Organization Name:HEARING HEALTH CLINICS MIDWEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARD
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:605-229-7909
Mailing Address - Street 1:1315 6TH AVE SE
Mailing Address - Street 2:#4
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401
Mailing Address - Country:US
Mailing Address - Phone:605-229-7909
Mailing Address - Fax:605-229-0499
Practice Address - Street 1:1315 6TH AVE SE
Practice Address - Street 2:#4
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401
Practice Address - Country:US
Practice Address - Phone:605-229-7909
Practice Address - Fax:605-229-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8264231H00000X
SD9231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty