Provider Demographics
NPI:1548028947
Name:FIVE STAR HEARING CENTER
Entity type:Organization
Organization Name:FIVE STAR HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:270-493-2319
Mailing Address - Street 1:2300 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-1052
Mailing Address - Country:US
Mailing Address - Phone:606-439-2299
Mailing Address - Fax:
Practice Address - Street 1:2300 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-1052
Practice Address - Country:US
Practice Address - Phone:606-439-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment