Provider Demographics
NPI:1235472929
Name:HEARING HEALTH CLINICS
Entity Type:Organization
Organization Name:HEARING HEALTH CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WARD
Authorized Official - Suffix:III
Authorized Official - Credentials:HIS
Authorized Official - Phone:605-229-7909
Mailing Address - Street 1:1315 6TH AVE SE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4900
Mailing Address - Country:US
Mailing Address - Phone:605-229-7909
Mailing Address - Fax:605-229-0499
Practice Address - Street 1:1315 6TH AVE SE
Practice Address - Street 2:SUITE 4
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4900
Practice Address - Country:US
Practice Address - Phone:605-229-7909
Practice Address - Fax:605-229-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD408H332B00000X
SD397H332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies