Provider Demographics
NPI:1609240142
Name:HEARING HEALTHCARE OF VIRGINIA
Entity Type:Organization
Organization Name:HEARING HEALTHCARE OF VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIS
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DEMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:NBC/HIS
Authorized Official - Phone:540-975-1587
Mailing Address - Street 1:1951 EVELYN BYRD AVE STE F
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3483
Mailing Address - Country:US
Mailing Address - Phone:540-421-7736
Mailing Address - Fax:888-862-4445
Practice Address - Street 1:1951 EVELYN BYRD AVE STE F
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3483
Practice Address - Country:US
Practice Address - Phone:540-421-7736
Practice Address - Fax:888-862-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization