# ELKS HEARING AND BALANCE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IDAHO ELKS REHABILITATION HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659640860
- **Legal business name:** IDAHO ELKS REHABILITATION HOSPITAL
- **Authorized official:** MR. MICHAEL STURMAK M.S., CCC-A, F-AAA (CHIEF OPERATING MANAGER)
- **Authorized official phone:** (208) 489-4975

## Contact information

- **Practice address:** 520 S EAGLE RD, SUITE 1225, MERIDIAN, ID 83642-6351
- **Practice address phone:** (208) 489-5999
- **Practice address fax:** (208) 888-2496
- **Mailing address:** 520 S EAGLE RD, SUITE 1225, MERIDIAN, ID 83642-6351
- **Mailing address phone:** (208) 489-5999
- **Mailing address fax:** (208) 888-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AUD-2112 | ID | Yes |

## Other

- **Enumeration date:** 12/16/2011
- **Last updated:** 12/16/2011