| Organization Name: | HEARMART HEARING AIDS INC. |
| NPI Number: | 1992073381 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE S BOURNE (OWNER) |
| Mailing Address: | 1820 San Pedro Dr Ne Ste 5 Albuquerque |
| State: | NM US |
| Postal Code: | 871105956 |
| Phone Number: | 5052558000 |
| Fax Number: | 5052564751 |
| NPI Enumeration Date: | 12/13/2011 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 02-414902-00-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| 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. |