COMFORT PLUS SHOE CENTER, INC.


Address: 535 N 155th Plz, Omaha, NE 68154-3775
Phone: 4023922952

COMFORT PLUS SHOE CENTER, INC. (NPI# 1477725869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477725869
Entity Type Organization
Organization Name COMFORT PLUS SHOE CENTER, INC.
Practice Address 535 N 155th Plz
Omaha
NE 68154-3775
Practice Telephone 4023922952
Practice Fax Number 4023921761
Mailing Telephone 4023922952
Mailing Fax Number 4023921761
Enumeration Date 2008-03-26
Last Update Date 2009-01-15
Authorized Official Name DEBORAH LYNN MANNINO (PRESIDENT, CPED)
Authorized Official Telephone 4023922952
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
7077181 NE Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NE BLUE CROSS BLUE SHIELD 09980 01
IA 0939116 05
NE 10025318500 05

Office Location

Street Address 535 N 155TH PLZ
City OMAHA
State NE
Zip Code 68154-3775

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1033622782 Raquelle G. Rowe Registered Nurse 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 2017-11-15
1336680396 Kristi Bose Nurse Practitioner 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 2017-03-10
1326442781 Heather Andsager Pharmacy Technician 13360 California Street, Omaha, NE 68154 2014-10-14
1073917605 Ann Leever Pharmacist 505 N 155th Plaza, Omaha, NE 68154 2014-10-10
1689078222 Melissa Svec Emergency Medical Technician, Basic 1705 N 121st St #203, Omaha, NE 68154 2014-10-10
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1477819563 Steven D. Wegner, D.d.s., P.C. Durable Medical Equipment & Medical Supplies 11840 Nicholas St, Suite 210, Omaha, NE 68154-4475 2012-04-03
1417149741 Lakeside Orthopedics PC Durable Medical Equipment & Medical Supplies 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 2007-08-10
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1376568444 Paul J. Lennemann Durable Medical Equipment & Medical Supplies 1941 S 42nd St, Suite 121, Omaha, NE 68105-2939 2006-07-12
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City OMAHA
Zip Code 68154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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