Provider Demographics
NPI:1659568152
Name:COMFORT CARE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:COMFORT CARE MEDICAL TRANSPORT LLC
Other - Org Name:COMFORT CARE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-201-1300
Mailing Address - Street 1:P.O. BOX 6
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341
Mailing Address - Country:US
Mailing Address - Phone:209-383-3407
Mailing Address - Fax:209-384-2980
Practice Address - Street 1:1567 DENVER WAY
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-1565
Practice Address - Country:US
Practice Address - Phone:209-383-3407
Practice Address - Fax:209-384-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)