Organization
SUMMIT HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. GREEN BC-HIS (CLINIC OWNER)
(719) 594-2095
Entity
Organization
Contact information
Practice address
1817 N UNION BLVD, STE. C, COLORADO SPRINGS, CO 80909-2268
(719) 594-2095
(719) 633-6168
Mailing address
1817 N UNION BLVD, STE. C, COLORADO SPRINGS, CO 80909-2268
(719) 594-2095
(719) 633-6168
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HA184
CO
332BC3200X
Customized Equipment (DME)
HA184
CO
332S00000X
Hearing Aid Equipment
Primary
HA184
CO
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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