Healthcare Provider Details

I. General information

NPI: 1639183585
Provider Name (Legal Business Name): ROBERT MOORE HEARING AID CENTER, DBA BELTONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 OGDEN ST
SOMERSET KY
42501-1723
US

IV. Provider business mailing address

PO BOX 48
SOMERSET KY
42502-0048
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-1965
  • Fax: 606-678-8465
Mailing address:
  • Phone: 606-679-1965
  • Fax: 606-678-8465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0242
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1142
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number621
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number589
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101
License Number StateVA
# 6
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number188
License Number StateKY

VIII. Authorized Official

Name: MRS. BEULAH JACKSON
Title or Position: INSURANCE CLERK
Credential:
Phone: 606-679-1965