Provider Demographics
NPI:1376205690
Name:COMFORT MEDICAL LLC
Entity Type:Organization
Organization Name:COMFORT MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYKOV
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:605-321-7304
Mailing Address - Street 1:1804 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-0310
Mailing Address - Country:US
Mailing Address - Phone:605-359-2278
Mailing Address - Fax:
Practice Address - Street 1:400 S SYCAMORE AVE STE 104-1
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-1255
Practice Address - Country:US
Practice Address - Phone:605-359-2278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies