Provider Demographics
NPI:1942753074
Name:HEARING HEALTH CARE CENTERS INC
Entity Type:Organization
Organization Name:HEARING HEALTH CARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FLESHREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN HIS
Authorized Official - Phone:618-960-4763
Mailing Address - Street 1:3700 ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-0405
Mailing Address - Country:US
Mailing Address - Phone:618-960-4763
Mailing Address - Fax:618-641-4849
Practice Address - Street 1:1480 N GREEN MOUNT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-3466
Practice Address - Country:US
Practice Address - Phone:618-960-4763
Practice Address - Fax:618-641-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3178332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment