Provider Demographics
NPI:1639209646
Name:TAYLOR & ASSOCIATES
Entity Type:Organization
Organization Name:TAYLOR & ASSOCIATES
Other - Org Name:TAYLOR HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:870-424-4600
Mailing Address - Street 1:202 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3654
Mailing Address - Country:US
Mailing Address - Phone:870-424-4600
Mailing Address - Fax:870-424-6950
Practice Address - Street 1:202 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3654
Practice Address - Country:US
Practice Address - Phone:870-424-4600
Practice Address - Fax:870-424-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA181237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR159922720Medicaid
AR159937720Medicaid
AR5F337OtherMEDICARE BCBS GRP