Healthcare Provider Details

I. General information

NPI: 1649375932
Provider Name (Legal Business Name): BLUE RIDGE HEARING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 A NEFF AVENUE
HARRISONBURG VA
22801-3482
US

IV. Provider business mailing address

243 A NEFF AVENUE
HARRISONBURG VA
22801-3482
US

V. Phone/Fax

Practice location:
  • Phone: 540-432-0071
  • Fax: 540-432-6079
Mailing address:
  • Phone: 540-432-0071
  • Fax: 540-432-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateVA

VIII. Authorized Official

Name: MRS. REGINA STOPHER DRIVER
Title or Position: OWNER PRESIDENT AUDIOLOGIST
Credential: MED CCC A
Phone: 540-432-0071