COMPREHENSIVE SYSTEMS INC NPI 1477617264

NPI Information

NPI: 1477617264
Provider Name: COMPREHENSIVE SYSTEMS, INC

Other Name: COUNTRY LANE ICFMR

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2266 COUNTRY LN
WATERLOO, IA
ZIP 50701
Phone: (641) 228-4842
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COMPREHENSIVE SYSTEMS, INC is an intermediate care facility mentally retarded in Waterloo, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMPREHENSIVE SYSTEMS, INC NPI is 1477617264. The provider is registered as an organization entity type.
The provider Other Name Is Country Lane Icfmr.

The provider's business location address is:

2266 COUNTRY LN
WATERLOO, IA
ZIP 50701-736
Phone: (641) 228-4842
Fax: (641) 228-4675

The provider's authorized official is Jack Brown .
The authorized official title is Executive Director and has the following contact phone number (641) 228-4842.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		070971	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0881490	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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