Healthcare Provider Details

I. General information

NPI: 1063967271
Provider Name (Legal Business Name): CASCADE HEARING AND AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 CENTRAL AVE W
GREAT FALLS MT
59404-3969
US

IV. Provider business mailing address

1220 CENTRAL AVE W
GREAT FALLS MT
59404-3969
US

V. Phone/Fax

Practice location:
  • Phone: 406-727-6577
  • Fax: 406-727-2354
Mailing address:
  • Phone: 406-727-6577
  • Fax: 406-727-2354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. WYATT RASMUSSEN
Title or Position: OWNER/DOCTOR
Credential: AUD
Phone: 406-727-6577