Provider Demographics
NPI:1114938388
Name:HEARING AID SERVICES LLC
Entity Type:Organization
Organization Name:HEARING AID SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:509-332-8843
Mailing Address - Street 1:127 S WASHINGTON ST
Mailing Address - Street 2:#1
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-2866
Mailing Address - Country:US
Mailing Address - Phone:208-883-4242
Mailing Address - Fax:208-883-2885
Practice Address - Street 1:825 SE BISHOP BLVD
Practice Address - Street 2:#130
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5512
Practice Address - Country:US
Practice Address - Phone:509-332-8843
Practice Address - Fax:509-332-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7132145Medicaid