Provider Demographics
NPI:1437666179
Name:ALCANTARA, LLC
Entity Type:Organization
Organization Name:ALCANTARA, LLC
Other - Org Name:GOLDEN TRANSFER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-231-3237
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:IA
Mailing Address - Zip Code:50622-0466
Mailing Address - Country:US
Mailing Address - Phone:319-231-3237
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 466
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:IA
Practice Address - Zip Code:50622-0466
Practice Address - Country:US
Practice Address - Phone:319-231-3237
Practice Address - Fax:619-991-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)