Provider Demographics
NPI:1588452031
Name:FORTEL COMMUNICATION LLC
Entity type:Organization
Organization Name:FORTEL COMMUNICATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:341-243-3701
Mailing Address - Street 1:240 KENT AVE UNIT KB21A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-4121
Mailing Address - Country:US
Mailing Address - Phone:341-243-3701
Mailing Address - Fax:860-894-5022
Practice Address - Street 1:240 KENT AVE UNIT KB21A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-4121
Practice Address - Country:US
Practice Address - Phone:341-243-3701
Practice Address - Fax:860-894-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies