Provider Demographics
NPI:1205175254
Name:COMFORT MEDICAL
Entity type:Organization
Organization Name:COMFORT MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TRAKTINSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-261-5494
Mailing Address - Street 1:9450 E MISSISSIPPI AVE
Mailing Address - Street 2:UNIT E
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2427
Mailing Address - Country:US
Mailing Address - Phone:303-750-0804
Mailing Address - Fax:303-600-7997
Practice Address - Street 1:9450 E MISSISSIPPI AVE
Practice Address - Street 2:UNIT E
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2427
Practice Address - Country:US
Practice Address - Phone:303-750-0804
Practice Address - Fax:303-600-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27706797332BX2000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27706797OtherSALES TAX LICENSE