Provider Demographics
NPI:1790230381
Name:COMFORT MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:COMFORT MEDICAL SUPPLY, INC.
Other - Org Name:COMFORT MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILKOSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:540-785-3202
Mailing Address - Street 1:1273 CENTRAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4912
Mailing Address - Country:US
Mailing Address - Phone:540-785-3202
Mailing Address - Fax:540-785-3203
Practice Address - Street 1:1273 CENTRAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4912
Practice Address - Country:US
Practice Address - Phone:540-785-3202
Practice Address - Fax:540-785-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009926332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies