Provider Demographics
NPI:1598847956
Name:AUDIOLOGY HEARING CARE SERVICES INC
Entity type:Organization
Organization Name:AUDIOLOGY HEARING CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ANKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-264-8884
Mailing Address - Street 1:1316 ROCK CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-3278
Mailing Address - Country:US
Mailing Address - Phone:304-264-8884
Mailing Address - Fax:304-264-8885
Practice Address - Street 1:1316 ROCK CLIFF DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3278
Practice Address - Country:US
Practice Address - Phone:304-264-8884
Practice Address - Fax:304-264-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0095237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0160567000Medicaid
WV367219OtherALLIANCE, MAMSIE, OPT. CH
WV1416271OtherUNITED HEALTHCARE ID#
WV367219OtherACORDIA NATIONAL ID#
WV5405127OtherAETNA ID #
WV5405127OtherAETNA ID #