Coosa Valley Hearing Clinic, Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

License

892A Issued in AL

Legal business name

COOSA VALLEY HEARING CLINIC, INC

Practice address

208 W Fort Williams St
Sylacauga, AL 35150-2432

Phone

(256) 249-0943

Fax

(256) 249-0941

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stacey D Grimes, M.S.,CCC-A

Title

Audiologist, President

Phone

(256) 249-0943

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1437464195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502432",
            "telephone_number": "256-249-0943",
            "fax_number": "256-249-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502432",
            "telephone_number": "256-249-0943",
            "fax_number": "256-249-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA VALLEY HEARING CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUDIOLOGIST, PRESIDENT",
        "authorized_official_telephone_number": "256-249-0943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "892A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.