MEDICARE: COMPREHENSIVE HEALTHCARE SERVICES

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1521	GA

General Provider Information

NPI Number	:	1770585028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 5555
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-0755
Country	:	US
Telephone Number	:	706-861-7733
Fax Number	:	706-861-7777

Provider Business Practice Location Address
First Line	:	227 N BRENT DR
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-8238
Country	:	US
Telephone Number	:	706-861-7733
Fax Number	:	706-861-7777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY L. HEDGES
Credential	:
Telephone Number	:	706-861-7733

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	06/17/2008

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