Healthcare Provider Details

I. General information

NPI: 1821124835
Provider Name (Legal Business Name): COMMUNITY HEARING HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 CLEARVISTA PKWY STE. 3A
INDIANAPOLIS IN
46256-1400
US

IV. Provider business mailing address

8202 CLEARVISTA PKWY STE. 3A
INDIANAPOLIS IN
46256-1400
US

V. Phone/Fax

Practice location:
  • Phone: 317-578-2300
  • Fax: 317-813-1445
Mailing address:
  • Phone: 317-578-2300
  • Fax: 317-813-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001202A
License Number StateIN

VIII. Authorized Official

Name: VALERIE DEMPSEY
Title or Position: DIRECTOR
Credential: NBC-HIS
Phone: 317-578-2300