Provider Demographics
NPI:1275890295
Name:ALPHA AND OMEGA TRANSIT NETWORK, INC.
Entity Type:Organization
Organization Name:ALPHA AND OMEGA TRANSIT NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-330-7810
Mailing Address - Street 1:2915 N OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-1507
Mailing Address - Country:US
Mailing Address - Phone:217-330-7810
Mailing Address - Fax:217-203-0065
Practice Address - Street 1:2915 N OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-1507
Practice Address - Country:US
Practice Address - Phone:217-330-7810
Practice Address - Fax:217-203-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)