Provider Demographics
NPI:1366493009
Name:COMPMED, INC.
Entity Type:Organization
Organization Name:COMPMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-696-2275
Mailing Address - Street 1:907 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1868
Mailing Address - Country:US
Mailing Address - Phone:610-696-2275
Mailing Address - Fax:610-692-0773
Practice Address - Street 1:907 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1868
Practice Address - Country:US
Practice Address - Phone:610-696-2275
Practice Address - Fax:610-692-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014542130003Medicaid
PA0014542130003Medicaid
MD0552670001Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID