Provider Demographics
NPI:1710140397
Name:AMERILINK VENTURES, INC
Entity Type:Organization
Organization Name:AMERILINK VENTURES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:BEACH
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-931-9846
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70434-0278
Mailing Address - Country:US
Mailing Address - Phone:800-894-9222
Mailing Address - Fax:
Practice Address - Street 1:5336 10TH ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:FL
Practice Address - Zip Code:32445-3429
Practice Address - Country:US
Practice Address - Phone:800-894-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0015921333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1262030001Medicare NSC