Provider Demographics
NPI:1033359484
Name:COM-CARE, INC
Entity Type:Organization
Organization Name:COM-CARE, INC
Other - Org Name:LOGAN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-298-4415
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-0165
Mailing Address - Country:US
Mailing Address - Phone:270-298-4415
Mailing Address - Fax:270-298-4417
Practice Address - Street 1:108 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-1123
Practice Address - Country:US
Practice Address - Phone:270-298-4415
Practice Address - Fax:270-298-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8056001Medicare PIN