Provider Demographics
NPI:1285642363
Name:COMENT MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:COMENT MEDICAL SUPPLY INC
Other - Org Name:KING L. TAYLOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KING
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-332-4311
Mailing Address - Street 1:10990 NEW HALLS FERRY RD
Mailing Address - Street 2:SUITE 223
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136
Mailing Address - Country:US
Mailing Address - Phone:314-332-4311
Mailing Address - Fax:314-653-8791
Practice Address - Street 1:10990 NEW HALLS FERRY RD
Practice Address - Street 2:SUITE 223
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136
Practice Address - Country:US
Practice Address - Phone:314-332-4311
Practice Address - Fax:314-653-8791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5951060001Medicare NSC