Organization
THE HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F MANGELS (BILLING MANAGER)
(540) 953-2916
Entity
Organization
Contact information
Practice address
820 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2708
(540) 552-1904
(540) 951-0302
Mailing address
PO BOX 886, BLACKSBURG, VA 24063-0886
(540) 953-2916
(540) 951-0302
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09445
MEDICARE GROUP NUMBER
VA
Enumeration date
09/20/2006
Last updated
05/30/2008
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