Organization
SUPREME HEARING COMPANY, INC.
Active
Other names
Miracle-Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO ANN ROBINSON (PRESIDENT)
(260) 483-2700
Entity
Organization
Contact information
Practice address
101 W WASHINGTON CENTER RD STE C, FORT WAYNE, IN 46825-4357
(260) 482-8503
(260) 484-1620
Mailing address
PO BOX 623, HUNTERTOWN, IN 46748-0623
(260) 483-2700
(260) 484-1620
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
NONE
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000182087
ANTHEM BC-BS
IN
Enumeration date
01/29/2007
Last updated
08/22/2020
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