Organization Active NPI

Comstock Corporation

  • Taxi
  • Grand Island, NE
National Provider Identifier
1790228047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
COMSTOCK CORPORATION
Practice address
212 E Capital Ave
Grand Island, NE 68801-2408
Phone
(308) 381-1090
NPI assigned
Nov 18, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jackie Bartu
Title
President
Phone
(308) 381-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X NE Primary

Addresses

Primary practice location

212 E Capital Ave
Grand Island, NE 68801-2408

Mailing address

PO Box 5523
Grand Island, NE 68802-5523

Other identifiers 1

IdentifierTypeStateIssuer
10026021800MedicaidNE

National Provider Directory

National Provider Directory

Locations

212 E Capital Ave
Grand Island, NE 68801
Phone (308) 381-1090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790228047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5523",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CAPITAL AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688012408",
            "telephone_number": "308-381-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMSTOCK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARTU",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-381-1090"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026021800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.