Provider Demographics
NPI:1487011185
Name:VITAL LINK TRANSPORT LLC
Entity Type:Organization
Organization Name:VITAL LINK TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EFFREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-397-9171
Mailing Address - Street 1:5246 JONES RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2609
Mailing Address - Country:US
Mailing Address - Phone:404-500-1039
Mailing Address - Fax:404-500-1039
Practice Address - Street 1:5246 JONES RD
Practice Address - Street 2:SUITE C
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2609
Practice Address - Country:US
Practice Address - Phone:404-500-1039
Practice Address - Fax:404-500-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport