Provider Demographics
NPI:1871207159
Name:ALFAGER TRANS LLC
Entity type:Organization
Organization Name:ALFAGER TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAGER
Authorized Official - Middle Name:AKASHA AHMED
Authorized Official - Last Name:MAHMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:336-456-1560
Mailing Address - Street 1:3341 W DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2317
Mailing Address - Country:US
Mailing Address - Phone:336-456-1560
Mailing Address - Fax:602-437-0171
Practice Address - Street 1:1470 W HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-1800
Practice Address - Country:US
Practice Address - Phone:336-456-1560
Practice Address - Fax:602-437-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)