Hearing Diagnostics Center Pc

LBN: Hearing Diagnostics Center Pc
Hearing Diagnostics Center Pc is an health care organization with primary practice located at 2102 Ironwood Cir , South Bend IN 46635-1864. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is the primary health care specialty. Hearing Diagnostics Center Pc can be contacted via phone (574) 271-0000, or through Craig, David C via phone (574) 271-0000.

Contact Information

Primary practice address
2102 Ironwood Cir South Bend IN 46635-1864
Phone: (574) 271-0000
Fax: (574) 273-4325
Website:
Map and Directions
Authorized official contact:
Name: Craig, David C AU.D.
Phone: (574) 271-0000

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 58000001A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 58000001A Indiana

Profile Details

NPI number 1164407425
LBN Legal business name Hearing Diagnostics Center Pc
DBA Doing business as
Authorized official Craig, David C AU.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 7th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164407425 NPPES
Indiana Other 000000201690 HA SUPPLIER
Indiana Other 000000087118 HA SUPPLIER
Indiana Other 030310001 HA SUPPLIER
Indiana MEDICAID 100113470B HA SUPPLIER

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