Basic Information
| Provider Information | |||||||||
| NPI: | 1013684083 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MY HEARING CENTERS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8941 S 700 E | ||||||||
| Address2: | |||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840702400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013169144 | ||||||||
| FaxNumber: | 8013967066 | ||||||||
| Practice Location | |||||||||
| Address1: | 3250 HILLCREST PARK DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975047684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417737409 | ||||||||
| FaxNumber: | 8013967066 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2021 | ||||||||
| LastUpdateDate: | 08/26/2021 | ||||||||
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| AuthorizedOfficialLastName: | HAMPP | ||||||||
| AuthorizedOfficialFirstName: | EILEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OF INSURANCE | ||||||||
| AuthorizedOfficialTelephone: | 7326886486 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.