Provider Demographics
NPI:1962803965
Name:JONES BELTONE HEARING CENTER
Entity type:Organization
Organization Name:JONES BELTONE HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:JIM
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:NBCHIS
Authorized Official - Phone:573-635-3557
Mailing Address - Street 1:1011 N MORLEY ST STE B
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-2790
Mailing Address - Country:US
Mailing Address - Phone:660-263-7343
Mailing Address - Fax:660-263-3584
Practice Address - Street 1:1011 N MORLEY ST
Practice Address - Street 2:SUITE B
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-2790
Practice Address - Country:US
Practice Address - Phone:660-263-7343
Practice Address - Fax:660-263-3584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEAN JONES HEARING AIDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002005867305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service