Provider Demographics
NPI:1497991608
Name:COMPREHENSIVE OUTPATIENT SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE OUTPATIENT SERVICES, INC.
Other - Org Name:KC HOME MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-385-2020
Mailing Address - Street 1:9540 NALL AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2950
Mailing Address - Country:US
Mailing Address - Phone:913-385-2020
Mailing Address - Fax:
Practice Address - Street 1:9540 NALL AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2950
Practice Address - Country:US
Practice Address - Phone:913-385-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies