Provider Demographics
NPI:1477539500
Name:MARVIN GILL & ASSOC.
Entity Type:Organization
Organization Name:MARVIN GILL & ASSOC.
Other - Org Name:MED-LINK MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-874-0248
Mailing Address - Street 1:1527 N KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-5202
Mailing Address - Country:US
Mailing Address - Phone:620-626-7779
Mailing Address - Fax:620-626-7728
Practice Address - Street 1:1527 N KANSAS AVE
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-5202
Practice Address - Country:US
Practice Address - Phone:620-626-7779
Practice Address - Fax:620-626-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3867010002Medicare ID - Type UnspecifiedPROVIDER NUMBER