Provider Demographics
NPI:1649289307
Name:HEARING HEALTHCARE ASSOCIATES, INC.
Entity type:Organization
Organization Name:HEARING HEALTHCARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHIPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:207-622-5922
Mailing Address - Street 1:89 HOSPITAL ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6651
Mailing Address - Country:US
Mailing Address - Phone:207-622-5922
Mailing Address - Fax:207-622-6052
Practice Address - Street 1:89 HOSPITAL ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6651
Practice Address - Country:US
Practice Address - Phone:207-622-5922
Practice Address - Fax:207-622-6052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEBU10000334237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME8393793OtherCIGNA PROVIDER NUMBER
MEM24542OtherCIGNA VENDOR NUMBER
MEMM8590Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER