Provider Demographics
NPI:1730195991
Name:ALF AMBULANCE
Entity type:Organization
Organization Name:ALF AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMC CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-953-2578
Mailing Address - Street 1:7100 147TH ST W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7519
Mailing Address - Country:US
Mailing Address - Phone:952-953-2660
Mailing Address - Fax:952-953-2672
Practice Address - Street 1:7100 147TH ST W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7519
Practice Address - Country:US
Practice Address - Phone:952-953-2660
Practice Address - Fax:952-953-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN03943416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport