Provider Demographics
NPI:1265014732
Name:IOWA HEARING CENTER, LLC
Entity Type:Organization
Organization Name:IOWA HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:515-689-7789
Mailing Address - Street 1:1228 SUNSET DR STE B
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-2401
Mailing Address - Country:US
Mailing Address - Phone:515-981-9893
Mailing Address - Fax:515-981-9421
Practice Address - Street 1:1228 SUNSET DR STE B
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-2401
Practice Address - Country:US
Practice Address - Phone:515-981-9893
Practice Address - Fax:515-981-9421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech