Provider Demographics
NPI:1114129988
Name:HEARING HEALTH CARE, INC
Entity Type:Organization
Organization Name:HEARING HEALTH CARE, INC
Other - Org Name:DBA BELTONE HEAR WELL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:LANE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:870-741-2774
Mailing Address - Street 1:707 N MAIN ST
Mailing Address - Street 2:STE. B
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2912
Mailing Address - Country:US
Mailing Address - Phone:870-741-2774
Mailing Address - Fax:870-741-1538
Practice Address - Street 1:707 N MAIN ST
Practice Address - Street 2:STE. B
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2912
Practice Address - Country:US
Practice Address - Phone:870-741-2774
Practice Address - Fax:870-741-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR519237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR48936OtherBC BS