Provider Demographics
NPI:1851425698
Name:ACCUQUEST HEARING CENTER
Entity Type:Organization
Organization Name:ACCUQUEST HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-835-8760
Mailing Address - Street 1:212 W WACKERLY ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-3000
Mailing Address - Country:US
Mailing Address - Phone:989-835-8760
Mailing Address - Fax:989-835-8798
Practice Address - Street 1:212 W WACKERLY ST
Practice Address - Street 2:STE 100
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-3000
Practice Address - Country:US
Practice Address - Phone:989-835-8760
Practice Address - Fax:989-835-8798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCUQUEST HEARING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-15
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501003129237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540E600460OtherBLUE CROSS BLUE SHIELD