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NPI Code Detail

MEDICARE: AUDIOLOGICAL SERVICES INC

MEDICARE: AUDIOLOGICAL SERVICES INC
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
1231H00000XAudiologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AU423OTHERIDBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
375831OTHERWAGROUP HEALTH

General Provider Information

NPI Number : 1316935513
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIOLOGICAL SERVICES INC
Provider Business Mailing Address
First Line : 127 S WASHINGTON ST
Second Line : SUITE 1
City : MOSCOW
State : ID
Zip : 83843-2866
Country : US
Telephone Number : 208-883-4242
Fax Number : 208-883-2885
Provider Business Practice Location Address
First Line : 825 SE BISHOP BLVD
Second Line : SUITE 130
City : PULLMAN
State : WA
Zip : 99163-5512
Country : US
Telephone Number : 509-332-8843
Fax Number : 509-332-8793
Authorized Official
Title or Position : PRESIDENT
Name : MS. SHARON ANN RICHARDSON
Credential : MA AUDIOLOGIST CCC
Telephone Number : 509-332-8843
Provider Enumeration Date : 10/11/2005
Last Update Date : 08/22/2020

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Directions to “AUDIOLOGICAL SERVICES INC ” Practice Location

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