Provider Demographics
NPI:1851411078
Name:SOUTHWESTERN HEARING AID COMPANY
Entity Type:Organization
Organization Name:SOUTHWESTERN HEARING AID COMPANY
Other - Org Name:SOUTHWESTERN HEARING CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARING
Authorized Official - Suffix:
Authorized Official - Credentials:BHS, BC-HIS
Authorized Official - Phone:314-481-6005
Mailing Address - Street 1:36 HAMPTON VILLAGE PLZ
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2127
Mailing Address - Country:US
Mailing Address - Phone:314-481-6005
Mailing Address - Fax:314-481-4272
Practice Address - Street 1:36 HAMPTON VILLAGE PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2127
Practice Address - Country:US
Practice Address - Phone:314-481-6005
Practice Address - Fax:314-481-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
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