MEDICARE: RAPID CITY HEARING AID CENTER

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	237700000X	Hearing Instrument Specialist	216	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558751867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPID CITY HEARING AID CENTER

Provider Business Mailing Address
First Line	:	2218 JACKSON BLVD
Second Line	:	SUITE 2A
City	:	RAPID CITY
State	:	SD
Zip	:	57702-1501
Country	:	US
Telephone Number	:	605-342-5902
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 JACKSON BLVD
Second Line	:	SUITE 2A
City	:	RAPID CITY
State	:	SD
Zip	:	57702-1501
Country	:	US
Telephone Number	:	605-342-5902
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFERY TED FRENCH
Credential	:
Telephone Number	:	605-342-5902

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/26/2015

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Directions to “RAPID CITY HEARING AID CENTER ” Practice Location

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