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Ambulatory Health Care Facilities Clinic/Center Hearing and Speech

Provider NPI: 1184948309

Organization Information:
Organization Name:  BLUE RIDGE HEARING INC
Organization is not Subpart
Authorized Official:  GREGORY L WIMMER  PRESIDENT  304-324-8358

Practice Location:
Tel: 540-786-1102  Fax: 304-324-8308

Business Mailing Address:
PO BOX 6115  BLUEFIELD, WV 24701-6115 US
Tel: 304-324-8358  Fax: 304-324-8308

NPI Information:
NPI: 1184948309
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QH0700XAmbulatory Health Care Facilities
Hearing and Speech

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QH0700X





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