Provider Demographics
NPI:1356084982
Name:EXPRESS COMFORT ZONE TRANSPORTATION
Entity Type:Organization
Organization Name:EXPRESS COMFORT ZONE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-988-6151
Mailing Address - Street 1:1885 BEN MAXWELL RD
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:GA
Mailing Address - Zip Code:30624-3774
Mailing Address - Country:US
Mailing Address - Phone:706-988-6151
Mailing Address - Fax:706-245-6748
Practice Address - Street 1:286 BAKER ST
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-4403
Practice Address - Country:US
Practice Address - Phone:706-988-6151
Practice Address - Fax:706-245-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)