Teton Hearing Center Llc

LBN: Teton Hearing Center Llc
Teton Hearing Center Llc is an health care organization with primary practice located at 50 Ski Hill Rd. , Driggs ID 83422. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Teton Hearing Center Llc can be contacted via phone (208) 569-8787, or through Petersen, Eliza S. via phone (208) 569-8787.

Contact Information

Primary practice address
50 Ski Hill Rd. Driggs ID 83422
Phone: (208) 569-8787
Fax: (208) 354-2656
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Eliza S. M.A. CCC-A FAAA
Phone: (208) 569-8787

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-974 Wyoming
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD1142 Idaho
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A-974 Wyoming
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AUD1142 Idaho

Profile Details

NPI number 1659523694
LBN Legal business name Teton Hearing Center Llc
DBA Doing business as
Authorized official Petersen, Eliza S. M.A. CCC-A FAAA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2008
Last updated Oct 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659523694 NPPES
Wyoming MEDICAID 125563100
Wyoming MEDICAID 807694600

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