MEDICARE: MY HEARING CENTERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1053089771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY HEARING CENTERS, LLC

Provider Business Mailing Address
First Line	:	8941 S 700 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2400
Country	:	US
Telephone Number	:	801-316-9144
Fax Number	:	801-396-7066

Provider Business Practice Location Address
First Line	:	1960 SIDEWINDER DR STE 214
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7448
Country	:	US
Telephone Number	:	435-655-8824
Fax Number	:	801-396-7066

Authorized Official
Title or Position	:	VP OF INSURANCE
Name	:	EILEEN HAMPP
Credential	:
Telephone Number	:	732-688-6486

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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Directions to “MY HEARING CENTERS, LLC ” Practice Location

Language	Start Address	Practice Location

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