Provider Demographics
NPI:1487640231
Name:ALERT AMBULANCE SERVICE, INC
Entity Type:Organization
Organization Name:ALERT AMBULANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-364-2856
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-0192
Mailing Address - Country:US
Mailing Address - Phone:732-364-2856
Mailing Address - Fax:732-364-4363
Practice Address - Street 1:1195 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5970
Practice Address - Country:US
Practice Address - Phone:732-364-2856
Practice Address - Fax:732-364-4363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJALER000233416L0300X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ219198OtherAMERICHOICE
NJ21340000OtherMAGELLAN
NJJ26654OtherHEALTH NET
NJ1014136OtherHORIZON NJ HEALTH
NJ205674OtherAMERIHEALTH
NJ2699508OtherAMERICAID
NJ2699508Medicaid
NJJ005553OtherTRICARE
NJ2699508OtherAMERICAID