Provider Demographics
NPI: | 1255869913 |
---|---|
Name: | THE COMPREHENSIVE GROUP OF COMPANIES, LLC |
Entity Type: | Organization |
Organization Name: | THE COMPREHENSIVE GROUP OF COMPANIES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BILLING SPECIALIST |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | PAULA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VLACH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 877-896-9301 |
Mailing Address - Street 1: | 24050 COMMERCE PARK STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | BEACHWOOD |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 44122-5831 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 216-896-9301 |
Mailing Address - Fax: | 216-896-9302 |
Practice Address - Street 1: | 42 WOODCROFT TRL STE A |
Practice Address - Street 2: | |
Practice Address - City: | BEAVERCREEK |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45430-1996 |
Practice Address - Country: | US |
Practice Address - Phone: | 937-429-0682 |
Practice Address - Fax: | 937-429-0683 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-05-25 |
Last Update Date: | 2018-10-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |