Healthcare Provider Details

I. General information

NPI: 1669694204
Provider Name (Legal Business Name): CASCADE AUDIOLOGY AND HEARING AID SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 15TH AVE S STE 207
GREAT FALLS MT
59405-4334
US

IV. Provider business mailing address

401 15TH AVE S STE 207
GREAT FALLS MT
59405-4334
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY D GRIFFIN
Title or Position: OWNER
Credential: MS, CCC
Phone: 406-727-6577