Provider Demographics
NPI:1255992095
Name:ALSTON TRANSPORTATION
Entity type:Organization
Organization Name:ALSTON TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SHANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-477-4765
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-0253
Mailing Address - Country:US
Mailing Address - Phone:434-477-4765
Mailing Address - Fax:434-616-3360
Practice Address - Street 1:1043 S COOLWELL RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:24572-4627
Practice Address - Country:US
Practice Address - Phone:434-477-4765
Practice Address - Fax:434-616-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)