Provider Demographics
NPI:1932513181
Name:SOMERSET HEARING CENTER
Entity Type:Organization
Organization Name:SOMERSET HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DILLOW
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:606-561-6727
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42502-0095
Mailing Address - Country:US
Mailing Address - Phone:606-561-6727
Mailing Address - Fax:606-561-0060
Practice Address - Street 1:6141 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-6092
Practice Address - Country:US
Practice Address - Phone:606-561-6727
Practice Address - Fax:606-561-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY265237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty