Provider Demographics
NPI:1023388139
Name:COMFORT AMBULANCE
Entity Type:Organization
Organization Name:COMFORT AMBULANCE
Other - Org Name:COMFORT AMBULANCE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:TESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-821-8238
Mailing Address - Street 1:2179 BENNETT RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3021
Mailing Address - Country:US
Mailing Address - Phone:215-821-8238
Mailing Address - Fax:215-464-5666
Practice Address - Street 1:2179 BENNETT RD
Practice Address - Street 2:UNIT B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3021
Practice Address - Country:US
Practice Address - Phone:215-821-8238
Practice Address - Fax:215-464-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport