Healthcare Provider Details

I. General information

NPI: 1750983953
Provider Name (Legal Business Name): GHC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 W DUVALL RD #101
GREEN VALLEY AZ
85614
US

IV. Provider business mailing address

267 W DUVALL RD #101
GREEN VALLEY AZ
85614
US

V. Phone/Fax

Practice location:
  • Phone: 520-625-9545
  • Fax: 520-797-2010
Mailing address:
  • Phone: 520-625-9545
  • Fax: 520-797-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH C. KOPP
Title or Position: OWNER
Credential:
Phone: 520-625-9545