Organization
CHAC INC
Active
Other names
Professional Hearing Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA J RUSSO BC-HIS (PRESIDENT/OWNER)
(850) 438-4092
Entity
Organization
Contact information
Practice address
115 N PALAFOX ST, PENSACOLA, FL 32502-4838
(850) 438-4092
(850) 438-4095
Mailing address
115 N PALAFOX ST, PENSACOLA, FL 32502-4838
(850) 438-4092
(850) 438-4095
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AY1294
FL
235500000X
Speech/Language/Hearing Specialist/Technologist
AS 1379
FL
235500000X
Speech/Language/Hearing Specialist/Technologist
AY1294
FL
237600000X
Audiologist-Hearing Aid Fitter
AY1294
FL
237700000X
Hearing Instrument Specialist
AS 1379
FL
332B00000X
Durable Medical Equipment & Medical Supplies
AS 1379
FL
332S00000X
Hearing Aid Equipment
Primary
AS 1379
FL
332S00000X
Hearing Aid Equipment
AY1294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085155800
—
FL
05
—
085155802
—
FL
05
—
085429800
—
FL
01
—
161297600
ACS PROVIDER NUMBER
FL
01
—
J-0195
UAW
FL
01
—
T-0094
BCBS
FL
Enumeration date
01/26/2007
Last updated
11/10/2016
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