Comfort Footwear Etc

LBN: Mt Medical, Llc
Comfort Footwear Etc is an health care organization with primary practice located at 208 Park Rd , West Hartford CT 06119-2015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Mt Medical, Llc can be contacted via phone (860) 232-1868, or through Tsvok, Ilya via phone (860) 232-1868.

Contact Information

Primary practice address
208 Park Rd West Hartford CT 06119-2015
Phone: (860) 232-1868
Fax: (860) 761-2658
Website:
Map and Directions
Authorized official contact:
Name: Tsvok, Ilya C-PED
Phone: (860) 232-1868

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1609891597
LBN Legal business name Mt Medical, Llc
DBA Doing business as Comfort Footwear Etc
Authorized official Tsvok, Ilya C-PED
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609891597 NPPES
Connecticut MEDICAID 004214269

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