Provider Demographics
NPI:1578625299
Name:ALPHA ONE INC
Entity Type:Organization
Organization Name:ALPHA ONE INC
Other - Org Name:ALPHA ONE TRANSPORTATION SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-925-7421
Mailing Address - Street 1:3403 LONDONLEAF LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-604-3448
Practice Address - Street 1:3403 LONDONLEAF LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2900
Practice Address - Country:US
Practice Address - Phone:877-925-7421
Practice Address - Fax:301-604-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCWMATC #851343900000X
MDPSC #3315343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)