Healthcare Provider Details

I. General information

NPI: 1174022339
Provider Name (Legal Business Name): BEST CARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 BUSTER LN
CAVE CITY AR
72521-9447
US

IV. Provider business mailing address

199 BUSTER LN
CAVE CITY AR
72521-9447
US

V. Phone/Fax

Practice location:
  • Phone: 870-834-1970
  • Fax: 501-764-4673
Mailing address:
  • Phone: 870-834-1970
  • Fax: 501-764-4673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MS. CLARA JEAN COSSEY
Title or Position: OWNER/MANAGER
Credential:
Phone: 870-834-1970