Provider Demographics
NPI:1912238015
Name:NORTHLINK MOBILITY LLC
Entity Type:Organization
Organization Name:NORTHLINK MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-333-1594
Mailing Address - Street 1:7175 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:MN
Mailing Address - Zip Code:56367-7624
Mailing Address - Country:US
Mailing Address - Phone:320-333-1594
Mailing Address - Fax:320-323-4327
Practice Address - Street 1:7175 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:RICE
Practice Address - State:MN
Practice Address - Zip Code:56367-7624
Practice Address - Country:US
Practice Address - Phone:320-333-1594
Practice Address - Fax:320-323-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA389138000Medicaid