Provider Demographics
NPI:1669414124
Name:HEALTHLINK MEDICAL TRANSPORTATION SERVICES INC
Entity type:Organization
Organization Name:HEALTHLINK MEDICAL TRANSPORTATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHEMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-356-3900
Mailing Address - Street 1:26150 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6511
Mailing Address - Country:US
Mailing Address - Phone:888-946-2407
Mailing Address - Fax:
Practice Address - Street 1:26187 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4412
Practice Address - Country:US
Practice Address - Phone:888-946-2407
Practice Address - Fax:734-946-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8210743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3385044Medicaid
MI0M24500Medicare PIN