Provider Demographics
NPI:1629887195
Name:BESTCARE TREATMENT SERVICES
Entity type:Organization
Organization Name:BESTCARE TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBI
Authorized Official - Middle Name:JOLYNE
Authorized Official - Last Name:SURPLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-516-4099
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0516
Mailing Address - Country:US
Mailing Address - Phone:541-516-4099
Mailing Address - Fax:
Practice Address - Street 1:685 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1754
Practice Address - Country:US
Practice Address - Phone:541-516-4099
Practice Address - Fax:541-316-7422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BESTCARE TREATMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty