Provider Demographics
NPI:1275924664
Name:COMFORT MED. SUPPLY, INC
Entity Type:Organization
Organization Name:COMFORT MED. SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DVORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-750-0804
Mailing Address - Street 1:9450 E MISSISSIPPI AVE # F
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2427
Mailing Address - Country:US
Mailing Address - Phone:303-750-0804
Mailing Address - Fax:303-600-7997
Practice Address - Street 1:9450 E MISSISSIPPI AVE # F
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2427
Practice Address - Country:US
Practice Address - Phone:303-750-0804
Practice Address - Fax:303-600-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies