Provider Demographics
NPI:1346436615
Name:AUDIOLOGY & HEARING AIDS OF NEVADA, INC.
Entity type:Organization
Organization Name:AUDIOLOGY & HEARING AIDS OF NEVADA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICAL
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-322-3269
Mailing Address - Street 1:1701 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3409
Mailing Address - Country:US
Mailing Address - Phone:775-322-3269
Mailing Address - Fax:775-322-8856
Practice Address - Street 1:1701 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3409
Practice Address - Country:US
Practice Address - Phone:775-322-3269
Practice Address - Fax:775-322-8856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA107231H00000X
261QH0700X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
2320033500OtherDEPARTMENT OF LABOR
NV100500372Medicaid