Provider Demographics
NPI:1275809782
Name:MEDLINE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MEDLINE TRANSPORTATION LLC
Other - Org Name:ALERT FORCE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-483-8095
Mailing Address - Street 1:15030 CEDAR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4012
Mailing Address - Country:US
Mailing Address - Phone:713-483-8095
Mailing Address - Fax:
Practice Address - Street 1:15030 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4012
Practice Address - Country:US
Practice Address - Phone:713-483-8095
Practice Address - Fax:866-310-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007973416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000797OtherLICENCE