MEDICARE: TUCSON HEARING CLINICS, 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
1	231H00000X	Audiologist	DA1692	AZ

General Provider Information

NPI Number	:	1639397672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUCSON HEARING CLINICS, INC

Provider Business Mailing Address
First Line	:	3040 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1603
Country	:	US
Telephone Number	:	520-327-0882
Fax Number	:	520-327-6205

Provider Business Practice Location Address
First Line	:	2250 EL MERCADO LOOP
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-5204
Country	:	US
Telephone Number	:	520-459-7559
Fax Number	:	520-459-7559

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOEL D CMIEL
Credential	:
Telephone Number	:	520-459-7559

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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