Provider Demographics
NPI:1023575875
Name:SPRINGFIELD HEARING AID CENTER
Entity Type:Organization
Organization Name:SPRINGFIELD HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:417-351-4100
Mailing Address - Street 1:3250 E BATTLEFIELD ST STE N
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4081
Mailing Address - Country:US
Mailing Address - Phone:417-351-4100
Mailing Address - Fax:417-351-5039
Practice Address - Street 1:3250 E BATTLEFIELD ST STE N
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4081
Practice Address - Country:US
Practice Address - Phone:417-351-4100
Practice Address - Fax:417-351-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment