Healthcare Provider Details

I. General information

NPI: 1427622596
Provider Name (Legal Business Name): AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 YELLOWSTONE AVE
CHUBBUCK ID
83202-2385
US

IV. Provider business mailing address

8941 S 700 E
SANDY UT
84070-2400
US

V. Phone/Fax

Practice location:
  • Phone: 208-238-0020
  • Fax: 801-396-7066
Mailing address:
  • Phone: 732-688-6486
  • Fax: 801-396-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

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