Provider Demographics
NPI:1689347197
Name:ALPHA 1 EMS, LLC
Entity Type:Organization
Organization Name:ALPHA 1 EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-991-4515
Mailing Address - Street 1:3133 GOLF RIDGE BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1995
Mailing Address - Country:US
Mailing Address - Phone:404-991-4515
Mailing Address - Fax:
Practice Address - Street 1:3133 GOLF RIDGE BLVD STE 302
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1995
Practice Address - Country:US
Practice Address - Phone:404-991-4515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport