Provider Demographics
NPI:1699738401
Name:BELTONE
Entity type:Organization
Organization Name:BELTONE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MENEFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-232-8172
Mailing Address - Street 1:4414 S 7TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4304
Mailing Address - Country:US
Mailing Address - Phone:812-232-8172
Mailing Address - Fax:812-232-8285
Practice Address - Street 1:4414 S 7TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4304
Practice Address - Country:US
Practice Address - Phone:812-232-8172
Practice Address - Fax:812-232-8285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment