Organization
ALTERNATIVE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN A GLAZER MBA (BILLING MANAGER)
(610) 583-5064
Entity
Organization
Contact information
Practice address
660 13TH AVE, BLDG 1, PROSPECT PARK, PA 19076-1219
(610) 583-5064
(610) 583-5074
Mailing address
660 13TH AVE, BLDG 1, PROSPECT PARK, PA 19076-1219
(610) 583-5064
(610) 583-5074
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
03079
PA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000206000
INDEPEN BLUE CROSS PROV #
PW
01
—
1110183
KEYSTONE MERCY PROV NMBR
PA
01
—
33278
HEALTH PARTNERS PROV NUMB
PA
Enumeration date
05/23/2006
Last updated
09/11/2025
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