Provider Demographics
NPI:1225332109
Name:ALMA TRANSPORT GROUP
Entity Type:Organization
Organization Name:ALMA TRANSPORT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GASMALLA
Authorized Official - Middle Name:ALWAHAB
Authorized Official - Last Name:ELHAG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-850-2434
Mailing Address - Street 1:1401 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-1559
Mailing Address - Country:US
Mailing Address - Phone:520-850-2434
Mailing Address - Fax:520-204-1769
Practice Address - Street 1:1401 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1559
Practice Address - Country:US
Practice Address - Phone:520-850-2434
Practice Address - Fax:520-204-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ528541OtherAHCCCS