Healthcare Provider Details

I. General information

NPI: 1023423647
Provider Name (Legal Business Name): FAMILY HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 06/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 HIGHWAY 95 SUITE 50
BULLHEAD CITY AZ
86442-7313
US

IV. Provider business mailing address

2400 HIGHWAY 95 SUITE 50
BULLHEAD CITY AZ
86442-7313
US

V. Phone/Fax

Practice location:
  • Phone: 928-763-1973
  • Fax: 928-758-3301
Mailing address:
  • Phone: 928-763-1973
  • Fax: 928-758-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberBHAD1605
License Number StateAZ

VIII. Authorized Official

Name: MR. DAVID JAMES BORLAND SR.
Title or Position: VICE PRES. COO
Credential: HEARING AID DISPENSE
Phone: 928-763-1973