# SAGINAW VALLEY HEARING CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730192030
- **Authorized official:** MR. GARY HARE PHD (PRESIDENT)
- **Authorized official phone:** (989) 799-1611

## Contact information

- **Practice address:** 3175 CHRISTY WAY, SAGINAW, MI 48603
- **Practice address phone:** (989) 799-1611
- **Practice address fax:** (989) 799-1622
- **Mailing address:** 3175 CHRISTY WAY, SAGINAW, MI 48603
- **Mailing address phone:** (989) 799-1611
- **Mailing address fax:** (989) 799-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 123867 | GREAT LAKES | — |
| 01 | — | 3048554 | MOLINA 90 CODE | — |
| 01 | — | 5018429 | MOLINA 80 CODE | — |
| 01 | — | 640G32681 | HP | — |
| 01 | — | 640G37631 | BCBS | — |