Provider Demographics
NPI:1629427729
Name:ALTERNATIVE HEALTHCARE TRANSPORTATION INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTHCARE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS BENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-581-0610
Mailing Address - Street 1:20670 SOUTHGATE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137
Mailing Address - Country:US
Mailing Address - Phone:216-581-0610
Mailing Address - Fax:216-581-0553
Practice Address - Street 1:20670 SOUTHGATE PARK BLVD
Practice Address - Street 2:
Practice Address - City:MAPLE HTS
Practice Address - State:OH
Practice Address - Zip Code:44137
Practice Address - Country:US
Practice Address - Phone:216-581-0610
Practice Address - Fax:216-581-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)