1952743890 NPI number — HEARING REHABILITATION CENTER 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 1952743890 NPI number — HEARING REHABILITATION CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING REHABILITATION CENTER 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:
1952743890
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8321 SANGRE DE CRISTO RD
Provider Second Line Business Mailing Address:
STE 202
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80127-6425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-984-4414
Provider Business Mailing Address Fax Number:
303-984-6244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2801 YOUNGFIELD ST
Provider Second Line Business Practice Location Address:
UNIT 100
Provider Business Practice Location Address City Name:
GOLDEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80401-2263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-231-9118
Provider Business Practice Location Address Fax Number:
303-899-9195
Provider Enumeration Date:
07/19/2013

Additional Information

Authorized Official

Authorized Official Last Name:
WILKEN
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
A
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
303-984-4414

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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