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NPI Code Detail

MEDICARE: COMPREHENSIVE SYSTEMS, INC

MEDICARE: COMPREHENSIVE SYSTEMS, 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
1311ZA0620XAdult Care Home Facility340957IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356405146
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE SYSTEMS, INC
Provider Business Mailing Address
First Line : PO BOX 457
Second Line : 1700 CLARK ST
City : CHARLES CITY
State : IA
Zip : 50616-0457
Country : US
Telephone Number : 641-228-4842
Fax Number : 641-228-4675
Provider Business Practice Location Address
First Line : 310 9TH ST
Second Line :
City : CHARLES CITY
State : IA
Zip : 50616-3615
Country : US
Telephone Number : 641-228-4842
Fax Number : 641-228-4675
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JACK BROWN
Credential :
Telephone Number : 641-228-4842
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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