1801988084 NPI number — BIG HORN BASIN HEARING INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801988084 NPI number — BIG HORN BASIN HEARING INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIG HORN BASIN HEARING INC
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:
1801988084
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
721 SHERIDAN AVE
Provider Second Line Business Mailing Address:
STE 150 BIG HORN BASIN HEARING INC
Provider Business Mailing Address City Name:
CODY
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-527-6475
Provider Business Mailing Address Fax Number:
307-527-6483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
721 SHERIDAN AVE
Provider Second Line Business Practice Location Address:
STE 150 BIG HORN BASIN HEARING INC
Provider Business Practice Location Address City Name:
CODY
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-527-6475
Provider Business Practice Location Address Fax Number:
307-527-6483
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KOPERSKI
Authorized Official First Name:
BEN
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
307-527-6475

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AUDIOLOGY CLINIC , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X , with the licence number: AUDIOLOGY CLINIC HEA , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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