Provider Demographics
NPI:1235318700
Name:COMPRECARE SERVICES, INC
Entity Type:Organization
Organization Name:COMPRECARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:R.
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:304-525-5032
Mailing Address - Street 1:1102 3RD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1593
Mailing Address - Country:US
Mailing Address - Phone:304-525-5032
Mailing Address - Fax:304-529-2123
Practice Address - Street 1:2311 OHIO RIVER ROAD
Practice Address - Street 2:MEMORIAL BRIDGE PLAZA UNIT B
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101
Practice Address - Country:US
Practice Address - Phone:304-422-9862
Practice Address - Fax:304-428-9527
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPRECARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies