Provider Demographics
NPI:1720207988
Name:HEARING INSTRUMENTS INC
Entity Type:Organization
Organization Name:HEARING INSTRUMENTS INC
Other - Org Name:ADVANCED HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:KUEPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN HIS
Authorized Official - Phone:505-296-7987
Mailing Address - Street 1:2533 VIRGINIA ST NE
Mailing Address - Street 2:#B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110
Mailing Address - Country:US
Mailing Address - Phone:505-296-7987
Mailing Address - Fax:505-293-6785
Practice Address - Street 1:2533 VIRGINIA ST NE
Practice Address - Street 2:#B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:505-296-7987
Practice Address - Fax:505-293-6785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMFA0012489332B00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT1017Medicaid