Provider Demographics
NPI:1104331800
Name:RIVER CITIES HEARING PLC
Entity type:Organization
Organization Name:RIVER CITIES HEARING PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDRICHSEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:563-242-7852
Mailing Address - Street 1:206 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4311
Mailing Address - Country:US
Mailing Address - Phone:563-242-7852
Mailing Address - Fax:563-242-0452
Practice Address - Street 1:206 4TH AVE S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4311
Practice Address - Country:US
Practice Address - Phone:563-242-7852
Practice Address - Fax:563-242-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL231H00000X, 237700000X
IA237700000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty