Provider Demographics
NPI:1912922733
Name:HEARING HEALTH CARE ASSOC INC
Entity Type:Organization
Organization Name:HEARING HEALTH CARE ASSOC INC
Other - Org Name:BELTONE HEARING AID SERVICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EINWECK
Authorized Official - Suffix:
Authorized Official - Credentials:BOARD CERTIFIED HEAR
Authorized Official - Phone:217-228-0542
Mailing Address - Street 1:422 S 8TH
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4150
Mailing Address - Country:US
Mailing Address - Phone:217-228-0542
Mailing Address - Fax:217-228-0547
Practice Address - Street 1:422 S 8TH
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-4150
Practice Address - Country:US
Practice Address - Phone:217-228-0542
Practice Address - Fax:217-228-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0535237700000X
MO0590237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL483707631001Medicaid