Provider Demographics
NPI:1740733351
Name:BLACKSTONE VALLEY HEARING CENTERS
Entity type:Organization
Organization Name:BLACKSTONE VALLEY HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:401-725-5798
Mailing Address - Street 1:1044 SMITHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-2637
Mailing Address - Country:US
Mailing Address - Phone:401-725-5798
Mailing Address - Fax:401-725-5790
Practice Address - Street 1:1044 SMITHFIELD AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-2637
Practice Address - Country:US
Practice Address - Phone:401-725-5798
Practice Address - Fax:401-725-5790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD000227237600000X, 261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ122456Medicare PIN