MEDICARE: LINDEN TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)	255695	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053519314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDEN TRANSPORTATION

Provider Business Mailing Address
First Line	:	1686 E HUDSON ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1678
Country	:	US
Telephone Number	:	614-418-5766
Fax Number	:	614-498-0015

Provider Business Practice Location Address
First Line	:	1686 E HUDSON ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1678
Country	:	US
Telephone Number	:	614-418-5766
Fax Number	:	614-498-0015

Authorized Official
Title or Position	:	CO, OWNER
Name	:	MR. ALI A GELLE
Credential	:
Telephone Number	:	614-784-7777

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	07/10/2007

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Directions to “LINDEN TRANSPORTATION ” Practice Location

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