Provider Demographics
NPI:1023532132
Name:SOUTHERN KENTUCKY HEARING AID SPECIALIST, INC
Entity type:Organization
Organization Name:SOUTHERN KENTUCKY HEARING AID SPECIALIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-651-5882
Mailing Address - Street 1:3007 EDMONTON RD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-9575
Mailing Address - Country:US
Mailing Address - Phone:270-651-5882
Mailing Address - Fax:270-651-6893
Practice Address - Street 1:3007 EDMONTON RD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-9575
Practice Address - Country:US
Practice Address - Phone:270-651-5882
Practice Address - Fax:270-651-6893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0157237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1528331337OtherBLUE CROSS BLUE SHIELD