1629427729 NPI number — ALTERNATIVE HEALTHCARE TRANSPORTATION INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629427729 NPI number — ALTERNATIVE HEALTHCARE TRANSPORTATION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE HEALTHCARE TRANSPORTATION INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629427729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20670 SOUTHGATE PARK BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAPLE HTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-581-0610
Provider Business Mailing Address Fax Number:
216-581-0553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20670 SOUTHGATE PARK BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAPLE HTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-581-0610
Provider Business Practice Location Address Fax Number:
216-581-0553
Provider Enumeration Date:
06/09/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ROBERTS BENTON
Authorized Official First Name:
ALENA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
216-581-0610

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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