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Contact Information

MOUNTAIN WEST HEARING AND SPEECH
777 E 4500 S STE 110
SALT LAKE CITY, UT84107-3056
 Phone: 801-268-6497
 Fax: 801-268-1376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for MOUNTAIN WEST HEARING AND SPEECH

NPI # 1700902376
LBN Legal business name MOUNTAIN WEST HEARING AND SPEECH
Authorized official RICHARD VAN WAGONER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 104094-4101
UT Medicaid 528609027002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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