Provider Demographics
NPI:1144589243
Name:COLUMBIA BASIN HEARING CENTER, LLC
Entity type:Organization
Organization Name:COLUMBIA BASIN HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-736-4006
Mailing Address - Street 1:215 VAN GIESEN ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2616
Mailing Address - Country:US
Mailing Address - Phone:509-943-2682
Mailing Address - Fax:509-943-8378
Practice Address - Street 1:215 VAN GIESEN ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-2616
Practice Address - Country:US
Practice Address - Phone:509-943-2682
Practice Address - Fax:509-943-8378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech