Provider Demographics
NPI:1861751109
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 & NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-736-4007
Mailing Address - Street 1:705 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-1457
Mailing Address - Country:US
Mailing Address - Phone:509-736-4007
Mailing Address - Fax:509-737-9527
Practice Address - Street 1:705 7TH ST
Practice Address - Street 2:
Practice Address - City:PROSSER
Practice Address - State:WA
Practice Address - Zip Code:99350-1457
Practice Address - Country:US
Practice Address - Phone:509-736-4007
Practice Address - Fax:509-737-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech