Provider Demographics
NPI:1740610542
Name:MIDWEST HEARING AID CENTER, LLC
Entity Type:Organization
Organization Name:MIDWEST HEARING AID CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DERELL
Authorized Official - Middle Name:
Authorized Official - Last Name:TALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-764-1774
Mailing Address - Street 1:20375 W 151ST ST STE 106
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5353
Mailing Address - Country:US
Mailing Address - Phone:913-312-1774
Mailing Address - Fax:913-764-6535
Practice Address - Street 1:20375 W 151ST ST STE 106
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5353
Practice Address - Country:US
Practice Address - Phone:913-312-1774
Practice Address - Fax:913-764-6535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment