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 |