MEDICARE: MCGEE'S HEARING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	2002012706	MO

General Provider Information

NPI Number	:	1861716441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGEE'S HEARING CENTER, LLC

Provider Business Mailing Address
First Line	:	703 LONG ROAD CROSSING DR
Second Line	:	5
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1159
Country	:	US
Telephone Number	:	636-536-0055
Fax Number	:	636-536-6804

Provider Business Practice Location Address
First Line	:	703 LONG ROAD CROSSING DR
Second Line	:	5
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1159
Country	:	US
Telephone Number	:	636-536-0055
Fax Number	:	636-536-6804

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBIN MCGEE
Credential	:	HIS
Telephone Number	:	636-536-0055

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	03/25/2010

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