1326268830 NPI number — HEARING AIDS & DEVICES INC

Table of content: (NPI 1326268830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326268830 NPI number — HEARING AIDS & DEVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING AIDS & DEVICES INC
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:
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:
1326268830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2440 SE BLVD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-332-3277
Provider Business Mailing Address Fax Number:
330-332-3307

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2440 SE BLVD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-332-3277
Provider Business Practice Location Address Fax Number:
330-332-3307
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
EVELYN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
330-332-3277

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X , with the licence number:  02198 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000236486 . This is a "ANTHEM BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2540790 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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