Basic Information
| Provider Information | |||||||||
| NPI: | 1245987296 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEST HEALTH MEDICAL URGENT CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9385 E WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462293029 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 9385 E WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462293029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059796155 | ||||||||
| FaxNumber: | 7186402713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2022 | ||||||||
| LastUpdateDate: | 03/09/2022 | ||||||||
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| AuthorizedOfficialLastName: | CYRIAQUE | ||||||||
| AuthorizedOfficialFirstName: | STEPHANE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3059796155 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
| NPICertificationDate: | 03/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.