Provider Demographics
NPI: | 1053833749 |
---|---|
Name: | AURALCARE HEARING CENTERS OF AMERICA, LLC |
Entity Type: | Organization |
Organization Name: | AURALCARE HEARING CENTERS OF AMERICA, LLC |
Other - Org Name: | MY HEARING CENTERS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VICE PRESIDENT OPERATIONS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JEFF |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROBE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | VP OPS |
Authorized Official - Phone: | 801-849-8497 |
Mailing Address - Street 1: | 8941 S 700 E STE 204 |
Mailing Address - Street 2: | |
Mailing Address - City: | SANDY |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84070-2402 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 1801-849-8497 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10650 SCRIPPS RANCH BLVD STE 108 |
Practice Address - Street 2: | |
Practice Address - City: | SAN DIEGO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92131-2471 |
Practice Address - Country: | US |
Practice Address - Phone: | 858-433-7095 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-07-13 |
Last Update Date: | 2017-07-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |