Provider Demographics
NPI:1518297209
Name:AMBULANCE ALTERNATIVES INCORPORATED
Entity Type:Organization
Organization Name:AMBULANCE ALTERNATIVES INCORPORATED
Other - Org Name:AMBU-LIFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-343-1804
Mailing Address - Street 1:3822 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2363
Mailing Address - Country:US
Mailing Address - Phone:715-343-1804
Mailing Address - Fax:715-343-1367
Practice Address - Street 1:3822 ROBERT ST
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2363
Practice Address - Country:US
Practice Address - Phone:715-343-1804
Practice Address - Fax:715-343-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41493400Medicaid