Provider Demographics
NPI:1265896302
Name:HEARSITE, INC
Entity type:Organization
Organization Name:HEARSITE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-862-2370
Mailing Address - Street 1:5550 WILD ROSE LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5350
Mailing Address - Country:US
Mailing Address - Phone:888-862-2370
Mailing Address - Fax:515-218-9008
Practice Address - Street 1:5550 WILD ROSE LN
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5350
Practice Address - Country:US
Practice Address - Phone:888-862-2370
Practice Address - Fax:515-218-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1014332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment