Provider Demographics
NPI:1740420132
Name:ALLIED HEARING CARE, INC
Entity type:Organization
Organization Name:ALLIED HEARING CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ADELLE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:615-868-0335
Mailing Address - Street 1:PO BOX 1040
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-1040
Mailing Address - Country:US
Mailing Address - Phone:615-868-0335
Mailing Address - Fax:615-868-0336
Practice Address - Street 1:110 GLANCY ST STE 214
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2313
Practice Address - Country:US
Practice Address - Phone:615-868-0335
Practice Address - Fax:615-868-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001365237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3198224Medicare PIN