Basic Information
| Provider Information | |||||||||
| NPI: | 1912310624 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEARUSA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 499 COLLIERS WAY | ||||||||
| Address2: | |||||||||
| City: | WEIRTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260625011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3047231592 | ||||||||
| FaxNumber: | 3047233857 | ||||||||
| Practice Location | |||||||||
| Address1: | 499 COLLIERS WAY | ||||||||
| Address2: | |||||||||
| City: | WEIRTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260625011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3047231592 | ||||||||
| FaxNumber: | 3047233857 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2014 | ||||||||
| LastUpdateDate: | 06/11/2014 | ||||||||
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| AuthorizedOfficialLastName: | KLEIN | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 80052832777 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SIEMENS HEARING INSTRUMENTS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0700X | A-0312 | WV | Y | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
No ID Information.