Provider Demographics
NPI:1861838526
Name:FAMILY HEARING CENTER, INC
Entity type:Organization
Organization Name:FAMILY HEARING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:574-533-2222
Mailing Address - Street 1:2134 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46528-5004
Mailing Address - Country:US
Mailing Address - Phone:574-533-2222
Mailing Address - Fax:574-533-6868
Practice Address - Street 1:225 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH MANCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46962-1824
Practice Address - Country:US
Practice Address - Phone:574-533-2222
Practice Address - Fax:574-533-6868
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY HEARING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN256980OtherMEDICARE PTAN (GROUP)