Provider Demographics
NPI:1427498237
Name:COMFORT TRANSPORT, LLC
Entity type:Organization
Organization Name:COMFORT TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GAUTHIER-PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-446-9810
Mailing Address - Street 1:W238N1645 ROCKWOOD DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-446-9810
Mailing Address - Fax:888-591-3346
Practice Address - Street 1:W238N1645 ROCKWOOD DR
Practice Address - Street 2:SUITE H
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188
Practice Address - Country:US
Practice Address - Phone:262-446-9810
Practice Address - Fax:888-591-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)