Provider Demographics
NPI:1336304922
Name:HEARX WEST INC
Entity Type:Organization
Organization Name:HEARX WEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF INSURANCE CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GELATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-478-8770
Mailing Address - Street 1:10455 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4237
Mailing Address - Country:US
Mailing Address - Phone:561-478-8770
Mailing Address - Fax:561-598-7209
Practice Address - Street 1:2530 F ST STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3843
Practice Address - Country:US
Practice Address - Phone:561-478-8770
Practice Address - Fax:561-688-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17842BMedicare PIN