1164579470 NPI number — GENERAL HEARING AID CENTER

Table of content: MINNIE JO UFFMAN CPSS (NPI 1164103719)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164579470 NPI number — GENERAL HEARING AID CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENERAL HEARING AID CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164579470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37 E FAYETTE ST
Provider Second Line Business Mailing Address:
PO BOX 1185
Provider Business Mailing Address City Name:
UNIONTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15401-4252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-439-4327
Provider Business Mailing Address Fax Number:
724-439-1635

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 E FAYETTE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-4252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-4327
Provider Business Practice Location Address Fax Number:
724-439-1635
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PHILLIS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
724-439-4327

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  2187 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GE281501 . This is a "PABS PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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