MEDICARE: ALPHA & OMEGA TRANSPORTATIONS SERVICES L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	40273	VA

General Provider Information

NPI Number	:	1295221554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA & OMEGA TRANSPORTATIONS SERVICES L.L.C

Provider Business Mailing Address
First Line	:	2314 FAIRFIELD AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-4124
Country	:	US
Telephone Number	:	804-918-5474
Fax Number	:	804-716-7261

Provider Business Practice Location Address
First Line	:	2314 FAIRFIELD AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-4124
Country	:	US
Telephone Number	:	804-918-5474
Fax Number	:	804-716-7261

Authorized Official
Title or Position	:	CEO
Name	:	MRS. KRISTINA LYNN IGWEIKE
Credential	:
Telephone Number	:	804-252-4307

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

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