Healthcare Provider Details

I. General information

NPI: 1568130276
Provider Name (Legal Business Name): MY HEARING CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 WHITE SAGE AVE STE C
DELTA UT
84624-5555
US

IV. Provider business mailing address

8941 S 700 E
SANDY UT
84070-2400
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-8497
  • Fax: 801-396-7066
Mailing address:
  • Phone: 801-316-9144
  • Fax: 801-396-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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