Provider Demographics
NPI:1265146377
Name:MOUNTAIN HEARING CARE LLC
Entity type:Organization
Organization Name:MOUNTAIN HEARING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:828-692-0353
Mailing Address - Street 1:303 S CHURCH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5249
Mailing Address - Country:US
Mailing Address - Phone:828-692-0353
Mailing Address - Fax:828-692-0678
Practice Address - Street 1:303 S CHURCH ST STE 2
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5249
Practice Address - Country:US
Practice Address - Phone:828-692-0353
Practice Address - Fax:828-692-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1154363059OtherMEDICARE, COMMERCIAL INSURERS, OTHER GOVERNMENT INSURERS
NC1851039515OtherMEDICARE, COMMERCIAL INSURERS, OTHER GOVERNMENT INSURERS
NC1780679142OtherMEDICARE, COMMERCIAL INSURERS, OTHER GOVERNMENT INSURERS