MEDICARE: AURALCARE HEARING CENTERS OF AMERICA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1265844120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURALCARE HEARING CENTERS OF AMERICA, LLC

Provider Business Mailing Address
First Line	:	8941 S 700 E
Second Line	:	SUITE 204
City	:	SANDY
State	:	UT
Zip	:	84070-2400
Country	:	US
Telephone Number	:	801-849-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	1453 DEWAR DR UNIT A
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-5821
Country	:	US
Telephone Number	:	307-223-0048
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	DAVID LARSEN
Credential	:
Telephone Number	:	801-849-8497

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	05/27/2014

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