Provider Demographics
NPI:1013179209
Name:HEAR ON EARTH HEARING CARE CENTER
Entity Type:Organization
Organization Name:HEAR ON EARTH HEARING CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:575-523-8816
Mailing Address - Street 1:920 N TELSHOR BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8244
Mailing Address - Country:US
Mailing Address - Phone:575-523-8816
Mailing Address - Fax:575-522-0026
Practice Address - Street 1:920 N TELSHOR BLVD
Practice Address - Street 2:STE A
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8244
Practice Address - Country:US
Practice Address - Phone:575-523-8816
Practice Address - Fax:575-522-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-28
Last Update Date:2008-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM290332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT9313Medicaid