Provider Demographics
NPI:1184519522
Name:COMSTOCK DEN INC.
Entity type:Organization
Organization Name:COMSTOCK DEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-628-4235
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:COMSTOCK
Mailing Address - State:NE
Mailing Address - Zip Code:68828-0025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 W MAIN
Practice Address - Street 2:
Practice Address - City:COMSTOCK
Practice Address - State:NE
Practice Address - Zip Code:68828-4518
Practice Address - Country:US
Practice Address - Phone:308-628-4235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care