Healthcare Provider Details
I. General information
NPI: 1861274722
Provider Name (Legal Business Name): MY HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1977 DEWAR DR STE E
ROCK SPRINGS WY
82901-5757
US
IV. Provider business mailing address
1977 DEWAR DR STE E
ROCK SPRINGS WY
82901-5757
US
V. Phone/Fax
- Phone: 307-223-0048
- Fax: 307-288-5844
- Phone: 307-223-0048
- Fax: 307-288-5844
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
PAMELA
K
JAMES
Title or Position: HIS
Credential:
Phone: 307-382-3816