Provider Demographics
NPI:1144426453
Name:NORTHWEST KANSAS HEARING SERVICES, INC
Entity Type:Organization
Organization Name:NORTHWEST KANSAS HEARING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILDYARD
Authorized Official - Suffix:II
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:785-460-2957
Mailing Address - Street 1:175 S RANGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2931
Mailing Address - Country:US
Mailing Address - Phone:785-460-2957
Mailing Address - Fax:785-460-3002
Practice Address - Street 1:175 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2931
Practice Address - Country:US
Practice Address - Phone:785-460-2957
Practice Address - Fax:785-460-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-23
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS374237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS004156Medicare PIN