Healthcare Provider Details

I. General information

NPI: 1386894996
Provider Name (Legal Business Name): AURA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S. SECOND ST. CLINTON HEARING CENTER
CLINTON MO
64735-2823
US

IV. Provider business mailing address

1001 S 2ND ST
CLINTON MO
64735-2823
US

V. Phone/Fax

Practice location:
  • Phone: 660-885-8885
  • Fax: 660-885-4128
Mailing address:
  • Phone: 660-885-8885
  • Fax: 660-885-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSEPH MARK GOFFINET
Title or Position: AUDIOLOGIST
Credential: M.S.
Phone: 660-885-8885