MEDICARE: ADVANCED HEARING CARE SOLUTIONS LLC.

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
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1801352497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEARING CARE SOLUTIONS LLC.

Provider Business Mailing Address
First Line	:	4094 S 150TH RD
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-7633
Country	:	US
Telephone Number	:	417-224-6134
Fax Number	:

Provider Business Practice Location Address
First Line	:	3361 S SPRINGFIELD AVE
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-9132
Country	:	US
Telephone Number	:	417-777-7874
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ROBIN PARSONS
Credential	:	HIS
Telephone Number	:	417-777-7874

Provider Enumeration Date	:	02/19/2019
Last Update Date	:	02/19/2019

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