Provider Demographics
NPI:1639616022
Name:TRI STATE HEARING CONSULTANTS INC.
Entity Type:Organization
Organization Name:TRI STATE HEARING CONSULTANTS INC.
Other - Org Name:BELTONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-454-0001
Mailing Address - Street 1:1723 HIGHWAY BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-2208
Mailing Address - Country:US
Mailing Address - Phone:800-837-1049
Mailing Address - Fax:
Practice Address - Street 1:1723 HIGHWAY BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2208
Practice Address - Country:US
Practice Address - Phone:800-837-1049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1070332S00000X
NE804332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment