Provider Demographics
NPI:1366681470
Name:BEST MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:BEST MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-904-7815
Mailing Address - Street 1:13023 BUSTLETON AVENUE
Mailing Address - Street 2:BEST MEDICAL SUPPLY, INC.
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-1672
Mailing Address - Country:US
Mailing Address - Phone:215-904-7815
Mailing Address - Fax:215-904-7817
Practice Address - Street 1:13023 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-1672
Practice Address - Country:US
Practice Address - Phone:215-904-7815
Practice Address - Fax:215-904-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA466083332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007643000OtherINDEPENDENCE BLUE CROSS
PA1024158850001Medicaid
PA1024158850001Medicaid