Provider Demographics
NPI:1235124686
Name:BEST CARE MEDICAL SUPPLY CO. INC.
Entity Type:Organization
Organization Name:BEST CARE MEDICAL SUPPLY CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-478-8300
Mailing Address - Street 1:61 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-4041
Mailing Address - Country:US
Mailing Address - Phone:973-478-8300
Mailing Address - Fax:973-478-0804
Practice Address - Street 1:61 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-4041
Practice Address - Country:US
Practice Address - Phone:973-478-8300
Practice Address - Fax:973-478-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2855101Medicaid
A480115OtherOXFORD
0254330001Medicare ID - Type Unspecified