1255485215 NPI number — EAR-CARE HEARING AID CENTERS

Table of content: (NPI 1255485215)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255485215 NPI number — EAR-CARE HEARING AID CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAR-CARE HEARING AID CENTERS
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:
6
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:
1255485215
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8317 E MILL PLAIN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98664
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-690-4327
Provider Business Mailing Address Fax Number:
360-690-0043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8317 E MILL PLAIN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-690-4327
Provider Business Practice Location Address Fax Number:
360-690-0043
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GILES
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
W
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
360-690-4327

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  HA00000347 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237700000X , with the licence number: HA00000487 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237700000X , with the licence number: HAS-P-079146 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237700000X , with the licence number: HAS-P-647063 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 131329 . This is a "LABOR & INDUSTRIES" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 2130657 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 356890201 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9041690 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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