MEDICARE: MOUNTAIN VIEW AUDIOLOGY

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	261QH0700X	Hearing and Speech Clinic/Center	A-928	WY

General Provider Information

NPI Number	:	1174856132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW AUDIOLOGY

Provider Business Mailing Address
First Line	:	130 N ASH ST STE 104
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1875
Country	:	US
Telephone Number	:	307-266-4100
Fax Number	:	307-266-4106

Provider Business Practice Location Address
First Line	:	130 N ASH ST STE 104
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1875
Country	:	US
Telephone Number	:	307-266-4100
Fax Number	:	307-266-4106

Authorized Official
Title or Position	:	RECEPTION /BILLER
Name	:	WHITNEY L MARTIN
Credential	:
Telephone Number	:	307-266-4100

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	03/04/2026

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Directions to “MOUNTAIN VIEW AUDIOLOGY ” Practice Location

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