Healthcare Provider Details

I. General information

NPI: 1437825023
Provider Name (Legal Business Name): MY HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 COLLEGE AVE
CONWAY AR
72034-6144
US

IV. Provider business mailing address

8941 S 700 E
SANDY UT
84070-2400
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-7979
  • Fax: 801-396-7066
Mailing address:
  • Phone: 425-329-8993
  • Fax: 801-396-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: EILEEN HAMPP
Title or Position: VP OF INSURANCE
Credential:
Phone: 732-688-6486