Provider Demographics
NPI:1184923831
Name:COMFORT MEDICAL TRANSPORTATION OF ARIZONA, LLC
Entity type:Organization
Organization Name:COMFORT MEDICAL TRANSPORTATION OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-786-9522
Mailing Address - Street 1:908 W CHANDLER BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2551
Mailing Address - Country:US
Mailing Address - Phone:480-786-9522
Mailing Address - Fax:480-899-1302
Practice Address - Street 1:908 W CHANDLER BLVD STE D
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2551
Practice Address - Country:US
Practice Address - Phone:480-786-9522
Practice Address - Fax:480-899-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)