# BASIN HEARING SOLUTIONS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700512167
- **Authorized official:** DR. KELCI LEE JACKSON AU.D. (AUDIOLOGIST)
- **Authorized official phone:** (701) 572-1077

## Contact information

- **Practice address:** 104 MAIN ST, WILLISTON, ND 58801-6019
- **Practice address phone:** (701) 572-1077
- **Mailing address:** 104 MAIN ST, WILLISTON, ND 58801-6019
- **Mailing address phone:** (701) 572-1077

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2022
- **Last updated:** 12/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1465789 | — | ND |