Provider Demographics
NPI:1912411257
Name:BING GONE MOBILE
Entity Type:Organization
Organization Name:BING GONE MOBILE
Other - Org Name:LIFECARE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAWZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGAHAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-297-0097
Mailing Address - Street 1:215 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 MAIN ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2452
Practice Address - Country:US
Practice Address - Phone:607-232-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)