Provider Demographics
NPI:1568643518
Name:ADVANCED HEARING CENTER LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCCULTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-547-3445
Mailing Address - Street 1:603 N CHURCH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1065
Mailing Address - Country:US
Mailing Address - Phone:724-547-3445
Mailing Address - Fax:
Practice Address - Street 1:603 N CHURCH ST STE 2
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1065
Practice Address - Country:US
Practice Address - Phone:724-547-3445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment