Audiology & Hearing Center of Farmington, Inc
Organization Active NPI Audiologist-Hearing Aid Fitter · Farmington, MO
NPI 1124060561 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1124060561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- 113484 (MO)
- Legal business name
- AUDIOLOGY & HEARING CENTER OF FARMINGTON, INC
- Practice address
- 620 Walton Dr
Farmington, MO 63640-1935 - Phone
- (573) 756-0500
- Fax
- (573) 756-0505
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Karen Renee Melton, AU.D.
- Title
- President
- Phone
- (573) 756-0500
Corporate family (same tax ID) 1
Practitioners 5
-
Karen Renee Melton, AU.D.
-
Corrine Reeves, AUD
-
David Shepard, BC-HIS
-
Lianna Stover, HIS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060808000006 | MO | Part B Supplier - Clinic/Group Practice | 8921001298 |
Receives reassigned benefits from 2 practitioners Practice locations: Farmington, MO; Herculaneum, MO |
National Provider Directory
- Tax ID family
- Audiology Hearing Center
Locations
560 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-0500
1185 Scenic Dr
Ste 157
Herculaneum, MO 63048
Phone (573) 756-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter |
237600000X | 113484 | MO | Yes |
Addresses
Primary practice location
620 Walton Dr
Farmington, MO 63640-1935
Mailing address
620 Walton Dr
Farmington, MO 63640-1935
Phone (573) 756-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-00144 | Other | MO | UHC |
| 193973 | Other | MO | BCBS |
| 7035519 | Other | MO | AETNA |
| 338885437 | Medicaid | MO | |
| 621859 | Other | MO | HEALTHLINK |
Other providers in Farmington, MO
- Ashbrook Residential, LLC
- Lisa Asher
- Aspire Therapy and Training LLC
- Vianney Atchley
- Athletico LTD
- Audiology & Hearing Center of Farmington, Inc
- Avalon Obstetrics and Gynecology, P.C.
- Troy Constant Avendanio
- Axes Physical Therapy, LLC
- Sujatha R Ayyagari
All providers in Farmington, MO · Audiologist-Hearing Aid Fitter in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.