Healthcare Provider Details

I. General information

NPI: 1326088949
Provider Name (Legal Business Name): WORTH HEARING CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 WYOMING BLVD NE
ALBUQUERQUE NM
87112-2615
US

IV. Provider business mailing address

2033 WYOMING BLVD NE
ALBUQUERQUE NM
87112-2615
US

V. Phone/Fax

Practice location:
  • Phone: 505-872-4327
  • Fax: 505-872-1041
Mailing address:
  • Phone: 505-872-4327
  • Fax: 505-872-1041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: CALLIE DAWN BEAUCHAMP
Title or Position: OWNER
Credential:
Phone: 505-872-4327