Provider Demographics
NPI:1235319534
Name:TWIN RIVERS HEARING HEALTH INC
Entity Type:Organization
Organization Name:TWIN RIVERS HEARING HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHMANOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:CCCA
Authorized Official - Phone:401-349-0456
Mailing Address - Street 1:151 DOUGLAS PIKE
Mailing Address - Street 2:#1
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2379
Mailing Address - Country:US
Mailing Address - Phone:401-349-0456
Mailing Address - Fax:
Practice Address - Street 1:151 DOUGLAS PIKE
Practice Address - Street 2:#1
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2379
Practice Address - Country:US
Practice Address - Phone:401-349-0456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332S00000XSuppliersHearing Aid Equipment