Provider Demographics
NPI:1881009116
Name:IOWA AUDIOLOGY & HEARING AID CENTERS
Entity Type:Organization
Organization Name:IOWA AUDIOLOGY & HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:E
Authorized Official - Last Name:AIRD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:319-338-6043
Mailing Address - Street 1:PO BOX 5637
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-0637
Mailing Address - Country:US
Mailing Address - Phone:319-338-6043
Mailing Address - Fax:319-338-7739
Practice Address - Street 1:1006 5TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2902
Practice Address - Country:US
Practice Address - Phone:319-338-6043
Practice Address - Fax:319-338-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment