Provider Demographics
NPI:1992243562
Name:MIDWEST MEDICAL HEARING CENTERS, INC.
Entity type:Organization
Organization Name:MIDWEST MEDICAL HEARING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:317-402-6578
Mailing Address - Street 1:3526 OSBORNE LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-3998
Mailing Address - Country:US
Mailing Address - Phone:765-471-2111
Mailing Address - Fax:765-471-2112
Practice Address - Street 1:3526 OSBORNE LN
Practice Address - Street 2:SUITE D
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-3998
Practice Address - Country:US
Practice Address - Phone:765-471-2111
Practice Address - Fax:765-471-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001329A237700000X, 332BC3200X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty