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NPI Code Detail

MEDICARE: MEDI TECH, INC.

MEDICARE: MEDI TECH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist226AR

General Provider Information

NPI Number : 1700839131
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDI TECH, INC.
Provider Business Mailing Address
First Line : 1031 HWY 25B NORTH
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-2034
Country : US
Telephone Number : 501-250-0300
Fax Number : 501-250-0309
Provider Business Practice Location Address
First Line : 1031 HWY 25B NORTH
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-2034
Country : US
Telephone Number : 501-250-0300
Fax Number : 501-250-0309
Authorized Official
Title or Position : OWNER
Name : MR. O. G. G. VANCE
Credential : BC-HIS
Telephone Number : 501-250-0300
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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Directions to “MEDI TECH, INC. ” Practice Location

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