Healthcare Provider Details

I. General information

NPI: 1306104369
Provider Name (Legal Business Name): HMS AUDIOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 04/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NEW TOWNE RD
BOWLING GREEN KY
42103-7966
US

IV. Provider business mailing address

340 NEW TOWNE DRIVE
BOWLING GREEN KY
42103-7966
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-0551
  • Fax: 270-781-9480
Mailing address:
  • Phone: 270-904-0551
  • Fax: 270-781-9480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MRS. STACEY S. SIMS
Title or Position: OWNER/MANAGER
Credential:
Phone: 270-791-1099