Provider Demographics
NPI:1306699301
Name:ALTERNATIVE CONCEPT CARE TRANSPORTATION NATCHITOCHES LLC
Entity type:Organization
Organization Name:ALTERNATIVE CONCEPT CARE TRANSPORTATION NATCHITOCHES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-266-7952
Mailing Address - Street 1:1115 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-4838
Mailing Address - Country:US
Mailing Address - Phone:318-266-7952
Mailing Address - Fax:318-541-8949
Practice Address - Street 1:1115 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-4838
Practice Address - Country:US
Practice Address - Phone:318-226-7952
Practice Address - Fax:318-541-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)