Provider Demographics
NPI:1720004096
Name:WELLS YEAGER BEST CO INC
Entity Type:Organization
Organization Name:WELLS YEAGER BEST CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME CARE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-447-1935
Mailing Address - Street 1:120 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47901
Mailing Address - Country:US
Mailing Address - Phone:765-742-1016
Mailing Address - Fax:765-429-6055
Practice Address - Street 1:3 N EARL AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2812
Practice Address - Country:US
Practice Address - Phone:765-447-1935
Practice Address - Fax:765-447-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X
IN60002663A3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0811740001Medicare ID - Type Unspecified