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NPI Code Detail

MEDICARE: COMFORT CARE MEDICARE, INC

MEDICARE: COMFORT CARE MEDICARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
267267OTHERIABCBS-HOME HEALTH AGENCY

General Provider Information

NPI Number : 1245305242
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORT CARE MEDICARE, INC
Provider Business Mailing Address
First Line : 4027 GLASS RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-2510
Country : US
Telephone Number : 319-294-3527
Fax Number :
Provider Business Practice Location Address
First Line : 4027 GLASS RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-2510
Country : US
Telephone Number : 319-294-3527
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. JULIE L TOW
Credential :
Telephone Number : 319-294-3527
Provider Enumeration Date : 11/22/2006
Last Update Date : 08/22/2020

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