Organization Name: | HEARTLAND HEARING AID CENTER |
NPI Number: | 1114298403 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES G SMITH (DISPENSER) |
Mailing Address: | 1209 N 7th St Ponca City |
State: | OK US |
Postal Code: | 746012843 |
Phone Number: | 5807671961 |
Fax Number: | 5807670749 |
NPI Enumeration Date: | 01/19/2012 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |