Provider Demographics
NPI:1952026395
Name:MEDLINK MEDICAL TRANSPORTATION AND AMBULANCE SERVICE
Entity Type:Organization
Organization Name:MEDLINK MEDICAL TRANSPORTATION AND AMBULANCE SERVICE
Other - Org Name:MEDLINK AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:FINGWE
Authorized Official - Last Name:MAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-595-5518
Mailing Address - Street 1:409 PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1141
Mailing Address - Country:US
Mailing Address - Phone:724-887-6822
Mailing Address - Fax:724-887-9440
Practice Address - Street 1:9 E LOOCKERMAN ST STE 316
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-8305
Practice Address - Country:US
Practice Address - Phone:302-364-3386
Practice Address - Fax:302-364-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport