Provider Demographics
NPI:1720802937
Name:COMFORT-RIDE
Entity type:Organization
Organization Name:COMFORT-RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HAILEMARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KEBEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-717-3279
Mailing Address - Street 1:1728 SE 58TH CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6267
Mailing Address - Country:US
Mailing Address - Phone:202-717-3279
Mailing Address - Fax:503-372-6370
Practice Address - Street 1:1728 SE 58TH CT
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6267
Practice Address - Country:US
Practice Address - Phone:202-717-3279
Practice Address - Fax:503-372-6370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)