Provider Demographics
NPI:1871866699
Name:ALLIANCE HEALTH LLC
Entity Type:Organization
Organization Name:ALLIANCE HEALTH LLC
Other - Org Name:MED-TRANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NERSESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-284-9698
Mailing Address - Street 1:3362 BRIX CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6935
Mailing Address - Country:US
Mailing Address - Phone:916-284-9698
Mailing Address - Fax:916-209-9992
Practice Address - Street 1:3362 BRIX CT
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6935
Practice Address - Country:US
Practice Address - Phone:916-284-9698
Practice Address - Fax:916-209-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)