Provider Demographics
NPI:1427030360
Name:PROFESSIONAL SALES AND RENTALS INC.
Entity Type:Organization
Organization Name:PROFESSIONAL SALES AND RENTALS INC.
Other - Org Name:BEST MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:GOODRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-425-3700
Mailing Address - Street 1:1209 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2601
Mailing Address - Country:US
Mailing Address - Phone:879-425-3700
Mailing Address - Fax:870-425-8388
Practice Address - Street 1:1209 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2601
Practice Address - Country:US
Practice Address - Phone:879-425-3700
Practice Address - Fax:870-425-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR48338OtherBC/BS
AR0140730001Medicare ID - Type UnspecifiedMEDICARE