Healthcare Provider Details

I. General information

NPI: 1033537956
Provider Name (Legal Business Name): ROGERS HEARING HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 COTTAGE HILL RD STE H
MOBILE AL
36609-3114
US

IV. Provider business mailing address

PO BOX 17167
HATTIESBURG MS
39404-7167
US

V. Phone/Fax

Practice location:
  • Phone: 251-653-1112
  • Fax: 251-653-3128
Mailing address:
  • Phone: 601-261-5995
  • Fax: 601-261-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberA3163
License Number StateMS

VIII. Authorized Official

Name: STACY MARIE DUBOIS
Title or Position: INSURANCE MANAGER
Credential: BS, HIS
Phone: 601-824-0570