Provider Demographics
NPI:1033517289
Name:ALLIANCE FOR COMMUNITY TRANSFORMATIONS
Entity Type:Organization
Organization Name:ALLIANCE FOR COMMUNITY TRANSFORMATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:E
Authorized Official - Last Name:TUDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-742-6456
Mailing Address - Street 1:PO BOX 2075
Mailing Address - Street 2:
Mailing Address - City:MARIPOSA
Mailing Address - State:CA
Mailing Address - Zip Code:95338-2075
Mailing Address - Country:US
Mailing Address - Phone:209-742-6456
Mailing Address - Fax:209-742-6450
Practice Address - Street 1:5200 HIGHWAY 49 NORTH
Practice Address - Street 2:
Practice Address - City:MARIPOSA
Practice Address - State:CA
Practice Address - Zip Code:95338-2075
Practice Address - Country:US
Practice Address - Phone:209-742-6456
Practice Address - Fax:209-742-6450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)