Provider Demographics
| NPI: | 1912310624 |
|---|---|
| Name: | HEARUSA |
| Entity type: | Organization |
| Organization Name: | HEARUSA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SCOTT |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KLEIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 8005-283-2777 |
| Mailing Address - Street 1: | 499 COLLIERS WAY |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WEIRTON |
| Mailing Address - State: | WV |
| Mailing Address - Zip Code: | 26062-5011 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 304-723-1592 |
| Mailing Address - Fax: | 304-723-3857 |
| Practice Address - Street 1: | 499 COLLIERS WAY |
| Practice Address - Street 2: | |
| Practice Address - City: | WEIRTON |
| Practice Address - State: | WV |
| Practice Address - Zip Code: | 26062-5011 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 304-723-1592 |
| Practice Address - Fax: | 304-723-3857 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | SIEMENS HEARING INSTRUMENTS |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2014-06-10 |
| Last Update Date: | 2014-06-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WV | A-0312 | 261QH0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |