Provider Demographics
NPI:1639944739
Name:ALLIANCE TRANSPORTATION NETWORK
Entity Type:Organization
Organization Name:ALLIANCE TRANSPORTATION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-229-6877
Mailing Address - Street 1:5401 94TH AVE N UNIT 258
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-5503
Mailing Address - Country:US
Mailing Address - Phone:612-229-6877
Mailing Address - Fax:
Practice Address - Street 1:5401 94TH AVE N UNIT 258
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-5503
Practice Address - Country:US
Practice Address - Phone:612-229-6877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)