Healthcare Provider Details

I. General information

NPI: 1881202877
Provider Name (Legal Business Name): HURST HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2343 EAGLE DR UNIT A
PAGOSA SPRINGS CO
81147-9058
US

IV. Provider business mailing address

2343 EAGLE DR UNIT A
PAGOSA SPRINGS CO
81147-9058
US

V. Phone/Fax

Practice location:
  • Phone: 970-444-2124
  • Fax:
Mailing address:
  • Phone: 970-444-2124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HURST
Title or Position: OWNER
Credential: AU.D.
Phone: 970-444-2124