Provider Demographics
NPI:1982376604
Name:HIGH COUNTRY HEARING CENTERS LLC
Entity Type:Organization
Organization Name:HIGH COUNTRY HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS-HIS
Authorized Official - Phone:307-362-0055
Mailing Address - Street 1:514 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6346
Mailing Address - Country:US
Mailing Address - Phone:307-620-0553
Mailing Address - Fax:307-333-0099
Practice Address - Street 1:514 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6346
Practice Address - Country:US
Practice Address - Phone:307-620-0553
Practice Address - Fax:307-333-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty