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NPI Code Detail

MEDICARE: RIVER VALLEY HEARING

MEDICARE: RIVER VALLEY HEARING
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
1332B00000XDurable Medical Equipment & Medical Supplies2566MN

General Provider Information

NPI Number : 1477734671
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER VALLEY HEARING
Provider Business Mailing Address
First Line : 1830 COMMERCE DR
Second Line :
City : NORTH MANKATO
State : MN
Zip : 56003-1800
Country : US
Telephone Number : 507-385-0565
Fax Number : 507-385-0566
Provider Business Practice Location Address
First Line : 1830 COMMERCE DR
Second Line :
City : NORTH MANKATO
State : MN
Zip : 56003-1800
Country : US
Telephone Number : 507-385-0565
Fax Number : 507-385-0566
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALISSA WITTE
Credential :
Telephone Number : 507-385-0565
Provider Enumeration Date : 11/16/2007
Last Update Date : 09/25/2009

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Directions to “RIVER VALLEY HEARING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.