Provider Demographics
NPI:1184669152
Name:COMMUNITY HEARING CENTER,INC
Entity Type:Organization
Organization Name:COMMUNITY HEARING CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:KOENIG
Authorized Official - Last Name:SCHUETT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:970-586-5255
Mailing Address - Street 1:1186 GRAVES AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-5439
Mailing Address - Country:US
Mailing Address - Phone:970-586-5255
Mailing Address - Fax:970-577-7260
Practice Address - Street 1:1186 GRAVES AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-5439
Practice Address - Country:US
Practice Address - Phone:970-586-5255
Practice Address - Fax:970-577-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODF1554OtherRR MEDICARE
COS31330Medicare UPIN
COC486828Medicare PIN