Provider Demographics
NPI:1528332574
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:541-312-7422
Practice Address - Street 1:850 SW 4TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-9629
Practice Address - Country:US
Practice Address - Phone:541-516-4099
Practice Address - Fax:541-312-7422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST CARE TREATMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-07
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
324500000X
OR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR228595Medicaid