Healthcare Provider Details

I. General information

NPI: 1679981435
Provider Name (Legal Business Name): HEARING ASSOCIATES OF ALAMOSA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 EDISON AVE
ALAMOSA CO
81101-2580
US

IV. Provider business mailing address

315 EDISON AVE
ALAMOSA CO
81101-2580
US

V. Phone/Fax

Practice location:
  • Phone: 719-589-2100
  • Fax: 719-589-2507
Mailing address:
  • Phone: 719-589-2100
  • Fax: 719-589-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHAD.0000199
License Number StateCO

VIII. Authorized Official

Name: CHESTER DAVID SAXON
Title or Position: SPEECH, AUDIOLOGY AND HEARING SPEC.
Credential:
Phone: 505-326-2791