Provider Demographics
NPI:1417941709
Name:CENTER FOR HEARING, LTD.
Entity Type:Organization
Organization Name:CENTER FOR HEARING, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:479-785-3277
Mailing Address - Street 1:4300 ROGERS AVE
Mailing Address - Street 2:SUITE 42
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3143
Mailing Address - Country:US
Mailing Address - Phone:479-785-3277
Mailing Address - Fax:479-785-3278
Practice Address - Street 1:4300 ROGERS AVE
Practice Address - Street 2:SUITE 42
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3143
Practice Address - Country:US
Practice Address - Phone:479-785-3277
Practice Address - Fax:479-785-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2020-08-22
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
AR5C023Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER