Dba Blue Ridge Hearing And Balance Clinic

LBN: Princeton Audiology Clinic, Inc.,
Dba Blue Ridge Hearing And Balance Clinic is an health care organization with primary practice located at 2001 Stadium Drive Suite D, Bluefield WV 24701. The organization recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Suppliers / Hearing Aid Equipment. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Princeton Audiology Clinic, Inc., can be contacted via phone (304) 324-2954, or through Desmond, Alan L. via phone (304) 487-2487.

Contact Information

Primary practice address
2001 Stadium Drive Suite D Bluefield WV 24701
Phone: (304) 324-2954
Fax: (304) 324-2955
Website:
Map and Directions
Authorized official contact:
Name: Desmond, Alan L. AU.D., CCC-A
Phone: (304) 487-2487

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Suppliers / Hearing Aid Equipment 332S00000X

Profile Details

NPI number 1598981524
LBN Legal business name Princeton Audiology Clinic, Inc.,
DBA Doing business as Dba Blue Ridge Hearing And Balance Clinic
Authorized official Desmond, Alan L. AU.D., CCC-A
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2007
Last updated Sep 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598981524 NPPES
Other CC375 PALMETTO GBA RR MEDICARE
MEDICAID 3810002482 PALMETTO GBA RR MEDICARE
Other PR9319052 PALMETTO GBA RR MEDICARE

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