Organization
BLUE VALLEY HEARING CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN MAR M.S., CCC-A (PRESIDENT)
(402) 228-7329
Entity
Organization
Contact information
Practice address
1110 N 10TH ST, BEATRICE, NE 68310-2039
(402) 228-7329
Mailing address
18502 JEFFERSON ST, OMAHA, NE 68135-1764
(402) 884-5500
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
133
NE
Other
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
Enumeration date
11/17/2006
Last updated
06/29/2008
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