1639873037 NPI number — AMERICAN HEARING ASSOCIATES, LLC

Table of content: (NPI 1639873037)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639873037 NPI number — AMERICAN HEARING ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HEARING ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639873037
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 WINDWALK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31411-2222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-713-9610
Provider Business Mailing Address Fax Number:
833-640-0013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 S TALLAHASSEE ST OFC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAZLEHURST
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31539-6025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-912-3279
Provider Business Practice Location Address Fax Number:
442-325-3094
Provider Enumeration Date:
03/29/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PITT
Authorized Official First Name:
GABRIEL
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
912-200-5062

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231HA2400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)