Provider Demographics
NPI:1003398629
Name:ELINK
Entity Type:Organization
Organization Name:ELINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-797-7124
Mailing Address - Street 1:3501 PENN DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-3652
Mailing Address - Country:US
Mailing Address - Phone:919-797-7124
Mailing Address - Fax:
Practice Address - Street 1:3501 PENN DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3652
Practice Address - Country:US
Practice Address - Phone:919-797-7124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)