Provider Demographics
NPI:1861738700
Name:AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity type:Organization
Organization Name:AURALCARE HEARING CENTERS OF AMERICA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-849-8497
Mailing Address - Street 1:8941 S 700 E
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2400
Mailing Address - Country:US
Mailing Address - Phone:801-849-8497
Mailing Address - Fax:
Practice Address - Street 1:17061 N AVENUE OF THE ARTS
Practice Address - Street 2:SUITE 100
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-6995
Practice Address - Country:US
Practice Address - Phone:623-277-5552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech