Provider Demographics
NPI:1164579470
Name:GENERAL HEARING AID CENTER
Entity Type:Organization
Organization Name:GENERAL HEARING AID CENTER
Other - Org Name:BELTONE HEARING INSTRUMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:PHILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED HEARING SPE
Authorized Official - Phone:724-439-4327
Mailing Address - Street 1:37 E FAYETTE ST
Mailing Address - Street 2:PO BOX 1185
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4252
Mailing Address - Country:US
Mailing Address - Phone:724-439-4327
Mailing Address - Fax:724-439-1635
Practice Address - Street 1:37 E FAYETTE ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4252
Practice Address - Country:US
Practice Address - Phone:724-439-4327
Practice Address - Fax:724-439-1635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENERAL HEARING AID CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-05
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2187237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGE281501OtherPABS PROVIDER #
PA281501Medicare ID - Type UnspecifiedMEDCIARE PROVIDER #