Provider Demographics
NPI:1356762975
Name:UNITYLINK & TRANSPORTATION LLC
Entity type:Organization
Organization Name:UNITYLINK & TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACFONGIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-462-4242
Mailing Address - Street 1:PO BOX 180196
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-0196
Mailing Address - Country:US
Mailing Address - Phone:817-462-4242
Mailing Address - Fax:817-419-3775
Practice Address - Street 1:2504 PARK VILLAGE DR
Practice Address - Street 2:STE 715
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1880
Practice Address - Country:US
Practice Address - Phone:817-462-4242
Practice Address - Fax:817-419-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)