Provider Demographics
NPI:1689370439
Name:COMFORT MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:COMFORT MEDICAL TRANSPORTATION
Other - Org Name:COMFORT MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CLAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:AUTHORIZED OFFICIAL
Authorized Official - Phone:919-221-3371
Mailing Address - Street 1:2043 SYREFORD CT
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9236
Mailing Address - Country:US
Mailing Address - Phone:919-221-3371
Mailing Address - Fax:
Practice Address - Street 1:2043 SYREFORD CT
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-9236
Practice Address - Country:US
Practice Address - Phone:919-221-3371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)