Healthcare Provider Details

I. General information

NPI: 1053468017
Provider Name (Legal Business Name): QUALITY CHOICE HEARING AID CENTER,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 N WESTWOOD BLVD SUITE #3
POPLAR BLUFF MO
63901-2346
US

IV. Provider business mailing address

2725 N WESTWOOD BLVD SUITE #3
POPLAR BLUFF MO
63901-2346
US

V. Phone/Fax

Practice location:
  • Phone: 573-686-6500
  • Fax: 573-686-6503
Mailing address:
  • Phone: 573-686-6500
  • Fax: 573-686-6503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number1015
License Number StateMO

VIII. Authorized Official

Name: MRS. DONNA S BELCHER
Title or Position: OWNER
Credential: HIS-NBC
Phone: 573-686-6500