MEDICARE: ALPHA MEDICAL TRANSPORTATION LLC

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	172A00000X	Driver

General Provider Information

NPI Number	:	1710842133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3275 NEWBURG RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1943
Country	:	US
Telephone Number	:	502-936-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 NEWBURG RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1943
Country	:	US
Telephone Number	:	502-936-9154
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AHMED ABDELFATTAH
Credential	:
Telephone Number	:	502-999-5300

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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