Provider Demographics
NPI:1891851143
Name:HEARING HEALTH CARE, INC.
Entity type:Organization
Organization Name:HEARING HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BERGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD,CCC-A
Authorized Official - Phone:636-391-9622
Mailing Address - Street 1:15825 MANCHESTER RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2263
Mailing Address - Country:US
Mailing Address - Phone:636-391-9622
Mailing Address - Fax:636-391-9236
Practice Address - Street 1:15825 MANCHESTER RD
Practice Address - Street 2:SUITE 209
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2263
Practice Address - Country:US
Practice Address - Phone:636-391-9622
Practice Address - Fax:636-391-9236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7473310OtherAETNA
MO126804OtherBLUE CROSS BLUE SHIELD
4500105OtherUNITED HEALTHCARE
MO407251OtherHEALTHLINK
MO46131OtherHEALTHCARE USA
7473310OtherAETNA
MO=========OtherPLUMBERS & PIPEFITTERS
4500105OtherUNITED HEALTHCARE