Provider Demographics
NPI:1932489606
Name:HEARING MONTANA, INC.
Entity Type:Organization
Organization Name:HEARING MONTANA, INC.
Other - Org Name:MIRACLE-EAR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPONHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:406-727-2461
Mailing Address - Street 1:215 10TH ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-2212
Mailing Address - Country:US
Mailing Address - Phone:406-727-2461
Mailing Address - Fax:406-452-5953
Practice Address - Street 1:215 10TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-2212
Practice Address - Country:US
Practice Address - Phone:406-727-2461
Practice Address - Fax:406-452-5953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment