Provider Demographics
NPI:1962466003
Name:ASSOCIATED HEARING AIDS, INC.
Entity Type:Organization
Organization Name:ASSOCIATED HEARING AIDS, INC.
Other - Org Name:AVADA HEARING CARE CENTERS OF ARIZONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-924-3310
Mailing Address - Street 1:5233 E SOUTHERN AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2777
Mailing Address - Country:US
Mailing Address - Phone:480-924-3310
Mailing Address - Fax:480-924-9243
Practice Address - Street 1:5233 E SOUTHERN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2777
Practice Address - Country:US
Practice Address - Phone:480-924-3310
Practice Address - Fax:480-924-9243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD1651237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ66738Medicare ID - Type Unspecified