| Organization Name: | MID SOUTH HEARING LLC |
| NPI Number: | 1295053411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY DAVIS (HEARING INSTRUMENT SPECIALIST) |
| Mailing Address: | 3525 N 147th St Suite 203 Omaha |
| State: | NE US |
| Postal Code: | 681168262 |
| Phone Number: | 4025028103 |
| Fax Number: | 4025053923 |
| NPI Enumeration Date: | 05/12/2010 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |