MEDICARE: COMFORTPLUS MEDICAL TRANSPORT, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1912823428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTPLUS MEDICAL TRANSPORT, LLC.

Provider Business Mailing Address
First Line	:	1611 LIBERTY ST
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-4546
Country	:	US
Telephone Number	:	612-987-2368
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 LIBERTY ST
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-4546
Country	:	US
Telephone Number	:	612-987-2368
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ZEWDU BONGER
Credential	:
Telephone Number	:	612-987-2368

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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