Provider Demographics
NPI:1457147878
Name:COMPREHENSIVE MEDICAL SERVICES CORPORATION
Entity type:Organization
Organization Name:COMPREHENSIVE MEDICAL SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ASHELY COLLIS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-861-2971
Mailing Address - Street 1:2112 F ST NW STE 802
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2763
Mailing Address - Country:US
Mailing Address - Phone:202-861-2971
Mailing Address - Fax:
Practice Address - Street 1:2112 F ST NW STE 802
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2763
Practice Address - Country:US
Practice Address - Phone:202-861-2971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical