MEDICARE: HURST HEARING LLC

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	332S00000X	Hearing Aid Equipment
2	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1881202877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HURST HEARING LLC

Provider Business Mailing Address
First Line	:	2343 EAGLE DR UNIT A
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-9058
Country	:	US
Telephone Number	:	970-444-2124
Fax Number	:

Provider Business Practice Location Address
First Line	:	2343 EAGLE DR UNIT A
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-9058
Country	:	US
Telephone Number	:	970-444-2124
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER HURST
Credential	:	AU.D.
Telephone Number	:	970-444-2124

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	04/28/2023

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