Provider Demographics
NPI:1295034809
Name:BEST MEDICAL LLC
Entity Type:Organization
Organization Name:BEST MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-756-7880
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-0749
Mailing Address - Country:US
Mailing Address - Phone:573-431-2253
Mailing Address - Fax:573-756-2669
Practice Address - Street 1:112 UNION ST
Practice Address - Street 2:
Practice Address - City:LEADINGTON
Practice Address - State:MO
Practice Address - Zip Code:63601-4423
Practice Address - Country:US
Practice Address - Phone:573-431-2253
Practice Address - Fax:573-756-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO590121307Medicaid