Provider Demographics
NPI:1295066462
Name:OSMOND HEARING CENTERS
Entity type:Organization
Organization Name:OSMOND HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GNERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-818-3155
Mailing Address - Street 1:1618 E REPUBLIC RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6509
Mailing Address - Country:US
Mailing Address - Phone:417-447-4500
Mailing Address - Fax:417-447-4504
Practice Address - Street 1:1618 E REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6509
Practice Address - Country:US
Practice Address - Phone:417-447-4500
Practice Address - Fax:417-447-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1437366648332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment