# BLUE VALLEY HEARING CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629142260
- **Authorized official:** LISA ANN MAR M.S., CCC-A (PRESIDENT)
- **Authorized official phone:** (402) 228-7329

## Contact information

- **Practice address:** 1110 N 10TH ST, BEATRICE, NE 68310-2039
- **Practice address phone:** (402) 228-7329
- **Mailing address:** 18502 JEFFERSON ST, OMAHA, NE 68135-1764
- **Mailing address phone:** (402) 884-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 133 | NE | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 06/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025365400 | — | NE |
| 05 | — | 10025376600 | — | NE |
| 01 | — | 2627462 | UNITED HEALTHCARE | NE |
| 01 | — | 37031 | BLUECROSS BLUESHIELD | NE |
| 01 | — | F250232 | MIDLANDS CHOICE | NE |