Provider Demographics
NPI:1225200231
Name:FAMILY HEARING CENTER, INC.
Entity Type:Organization
Organization Name:FAMILY HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:574-533-2222
Mailing Address - Street 1:2134 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46528-5004
Mailing Address - Country:US
Mailing Address - Phone:574-533-2222
Mailing Address - Fax:574-533-6868
Practice Address - Street 1:1144 W PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:IN
Practice Address - Zip Code:46506-1842
Practice Address - Country:US
Practice Address - Phone:574-546-8044
Practice Address - Fax:574-546-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002190A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200534540Medicaid
IN1225200231OtherFAMILY HEARING CENTER, INC. BREMEN LOCATION GROUP NPI
IN256980AOtherMEDIARE PTAN
IN1871688069OtherSUZANNE GINTER PERSONAL NPI
IN200668300OtherFIRST STEPS