Provider Demographics
NPI:1831845700
Name:ALABAMA SPECIALTY CARE TRANSPORT LLC
Entity type:Organization
Organization Name:ALABAMA SPECIALTY CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:256-566-5004
Mailing Address - Street 1:PO BOX 772
Mailing Address - Street 2:
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-0772
Mailing Address - Country:US
Mailing Address - Phone:256-341-7676
Mailing Address - Fax:855-326-1353
Practice Address - Street 1:13414 AL HIGHWAY 157 STE B
Practice Address - Street 2:
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-3704
Practice Address - Country:US
Practice Address - Phone:256-341-7676
Practice Address - Fax:855-326-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No333300000XSuppliersEmergency Response System Companies
No341600000XTransportation ServicesAmbulance