Provider Demographics
NPI:1225462351
Name:COMFORT MED INDUSTRIES, INC
Entity Type:Organization
Organization Name:COMFORT MED INDUSTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:
Authorized Official - Last Name:DETRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-350-2638
Mailing Address - Street 1:393 BRODHEAD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2935
Mailing Address - Country:US
Mailing Address - Phone:570-350-2638
Mailing Address - Fax:888-516-2227
Practice Address - Street 1:393 BRODHEAD AVE
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2935
Practice Address - Country:US
Practice Address - Phone:570-350-2638
Practice Address - Fax:888-516-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies