Provider Demographics
NPI:1669486205
Name:COMPREHENSIVE MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-896-9301
Mailing Address - Street 1:24050 COMMERCE PARK STE 100
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5831
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:440-896-9302
Practice Address - Street 1:24050 COMMERCE PARK STE 100
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5831
Practice Address - Country:US
Practice Address - Phone:216-896-9301
Practice Address - Fax:440-896-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9352381Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER