Provider Demographics
NPI:1396222915
Name:ADAM ALLIANCE TRANSPORT LLC
Entity Type:Organization
Organization Name:ADAM ALLIANCE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:DENG
Authorized Official - Last Name:ACUENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-851-5391
Mailing Address - Street 1:1402 DUNCAN STATION RD APT 1
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-3079
Mailing Address - Country:US
Mailing Address - Phone:865-851-5391
Mailing Address - Fax:
Practice Address - Street 1:1402 DUNCAN STATION RD APT 1
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-3079
Practice Address - Country:US
Practice Address - Phone:865-851-5391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0487608343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherNON EMERGENCY MEDICAL TRANSPORTATION