Provider Demographics
NPI:1083734883
Name:SOUTH PLAINS HEARING AID CENTER
Entity Type:Organization
Organization Name:SOUTH PLAINS HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING SPECIALIST
Authorized Official - Phone:806-698-1083
Mailing Address - Street 1:5137 69TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1644
Mailing Address - Country:US
Mailing Address - Phone:806-698-1083
Mailing Address - Fax:806-698-1084
Practice Address - Street 1:5137 69TH ST STE B
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1644
Practice Address - Country:US
Practice Address - Phone:806-698-1083
Practice Address - Fax:806-698-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531154OtherBLUE CROSS BLUE SHIELD