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MOUNTAIN WEST HEARING AND SPEECH NPI 1700902376


NPI Information

NPI: 1700902376
Provider Name: MOUNTAIN WEST HEARING AND SPEECH
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Organization
Address:
777 E 4500 S STE 110
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 268-6497
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MOUNTAIN WEST HEARING AND SPEECH is an audiologist hearing aid fitter in Salt Lake City, UT. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. MOUNTAIN WEST HEARING AND SPEECH NPI is 1700902376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 E 4500 S STE 110
SALT LAKE CITY, UT
ZIP 84107-056
Phone: (801) 268-6497
Fax: (801) 268-1376

The provider's authorized official is Richard S Van Wagoner .
The authorized official title is President and has the following contact phone number (801) 268-6497.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid Fitter104094-4101UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528609027002MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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