MEDICARE: ARAPAHOE HEARING ASSOCIATION

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	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1396178539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARAPAHOE HEARING ASSOCIATION

Provider Business Mailing Address
First Line	:	7600 E ARAPAHOE RD
Second Line	:	#105
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1260
Country	:	US
Telephone Number	:	303-770-4327
Fax Number	:	303-770-4503

Provider Business Practice Location Address
First Line	:	7600 E ARAPAHOE RD
Second Line	:	#105
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1260
Country	:	US
Telephone Number	:	303-770-4327
Fax Number	:	303-770-4503

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY LONGTAIN
Credential	:
Telephone Number	:	503-257-6800

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	08/12/2013

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