Basic Information
| Provider Information | |||||||||
| NPI: | 1053468017 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | QUALITY CHOICE HEARING AID CENTER,INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2725 N WESTWOOD BLVD | ||||||||
| Address2: | SUITE #3 | ||||||||
| City: | POPLAR BLUFF | ||||||||
| State: | MO | ||||||||
| PostalCode: | 639012346 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5736866500 | ||||||||
| FaxNumber: | 5736866503 | ||||||||
| Practice Location | |||||||||
| Address1: | 2725 N WESTWOOD BLVD | ||||||||
| Address2: | SUITE #3 | ||||||||
| City: | POPLAR BLUFF | ||||||||
| State: | MO | ||||||||
| PostalCode: | 639012346 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5736866500 | ||||||||
| FaxNumber: | 5736866503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BELCHER | ||||||||
| AuthorizedOfficialFirstName: | DONNA | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5736866500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | HIS-NBC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0700X | 1015 | MO | Y | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
No ID Information.