A Hearing Healthcare Center Inc.
Organization Active NPI Hearing Aid Equipment · Philadelphia, PA
NPI 1194787895 · NPPES record last updated Mar 19, 2009
Key facts
- NPI
- 1194787895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing Aid Equipment 332S00000X
- License
- D00159 (PA)
- Legal business name
- A HEARING HEALTHCARE CENTER INC.
- Practice address
- 1900 Rittenhouse SQ
Suite C-1
Philadelphia, PA 19103-5767 - Phone
- (215) 985-4964
- Fax
- (215) 985-1678
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Lisa Andrea Blackman, MA, CCC-A, FAAA
- Title
- Director of Audiology
- Phone
- (215) 985-4964
Practitioners 1
-
Lisa Andrea Blackman, MA CCC-A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090320000189 | PA | Part B Supplier - Clinic/Group Practice | 2466519376 |
Receives reassigned benefits from 1 practitioner Practice locations: Philadelphia, PA |
National Provider Directory
Locations
1900 Rittenhouse Sq
Ste C1
Philadelphia, PA 19103
Phone (215) 985-4964
2120 S 17th St
Philadelphia, PA 19145
Phone (215) 334-8774
8040 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 332-7677
8040 Roosevelt Blvd
Rm 212
Philadelphia, PA 19152
Phone (215) 332-7677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | D00159 | PA | Yes |
Addresses
Primary practice location
1900 Rittenhouse SQ
Suite C-1
Philadelphia, PA 19103-5767
Mailing address
1900 Rittenhouse SQ
Suite C-1
Philadelphia, PA 19103-5767
Phone (215) 985-4964
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5222800 | Medicaid | NJ |
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All providers in Philadelphia, PA · Hearing Aid Equipment in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2009. 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.