Provider Demographics
NPI:1326181868
Name:AMERICAN RIVER HEARING
Entity Type:Organization
Organization Name:AMERICAN RIVER HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-927-9640
Mailing Address - Street 1:555 UNIVERSITY AVE STE 154
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6500
Mailing Address - Country:US
Mailing Address - Phone:916-927-9640
Mailing Address - Fax:916-927-9641
Practice Address - Street 1:555 UNIVERSITY AVE
Practice Address - Street 2:STE 154
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6521
Practice Address - Country:US
Practice Address - Phone:916-927-9640
Practice Address - Fax:916-927-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU881332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ06362ZOtherBLUE SHIELD PROVIDER NUMB
CAZZZ06361ZOtherBLUE SHIELD PROVIDER NUMB
CAZZZ06361ZOtherBLUE SHIELD PROVIDER NUMB
CAZZZ06362ZOtherBLUE SHIELD PROVIDER NUMB