Provider Demographics
NPI:1427283043
Name:NEW RIVER VALLEY HEARING INC
Entity type:Organization
Organization Name:NEW RIVER VALLEY HEARING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:540-731-4327
Mailing Address - Street 1:616 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-1780
Mailing Address - Country:US
Mailing Address - Phone:540-731-4327
Mailing Address - Fax:540-731-4328
Practice Address - Street 1:616 WEST MAIN STREET SUITE A
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-1539
Practice Address - Country:US
Practice Address - Phone:540-731-4327
Practice Address - Fax:540-731-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA220100117237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1003077454Medicaid