Provider Demographics
NPI:1699920538
Name:MID OHIO HEARING CENTER
Entity type:Organization
Organization Name:MID OHIO HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNEDEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:NBC/HIS
Authorized Official - Phone:740-389-5566
Mailing Address - Street 1:2365 MARION MOUNT GILEAD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8912
Mailing Address - Country:US
Mailing Address - Phone:740-389-5566
Mailing Address - Fax:740-389-6699
Practice Address - Street 1:2365 MARION MOUNT GILEAD RD
Practice Address - Street 2:SUITE A
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8912
Practice Address - Country:US
Practice Address - Phone:740-389-5566
Practice Address - Fax:740-389-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2174332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment