Provider Demographics
NPI:1164318572
Name:GATEWAY HEARING SERVICES
Entity type:Organization
Organization Name:GATEWAY HEARING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:KEARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-315-1504
Mailing Address - Street 1:3096 BEVERLY CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2682
Mailing Address - Country:US
Mailing Address - Phone:530-315-1504
Mailing Address - Fax:
Practice Address - Street 1:3351 M ST STE 220
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2731
Practice Address - Country:US
Practice Address - Phone:209-724-0501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty