Basic Information
| Provider Information | |||||||||
| NPI: | 1972922854 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AURALCAREHEARINGCENTERSOFAMERICA,LLC | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 8941 S 700 E STE 204 | ||||||||
| Address2: | |||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840702402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8018498497 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8941 S 700 E STE 204 | ||||||||
| Address2: | |||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840702402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8018498497 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2014 | ||||||||
| LastUpdateDate: | 04/08/2014 | ||||||||
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| AuthorizedOfficialLastName: | LARSEN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | D. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8018498497 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 302R00000X | Y | Managed Care Organizations | Health Maintenance Organization |
No ID Information.