Provider Demographics
NPI:1013654003
Name:ADVANCED HEARING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:VON COLLN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-415-0038
Mailing Address - Street 1:4940 5TH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6026
Mailing Address - Country:US
Mailing Address - Phone:605-415-0038
Mailing Address - Fax:
Practice Address - Street 1:4940 5TH ST STE 2B
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6026
Practice Address - Country:US
Practice Address - Phone:605-415-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies