Healthcare Provider Details

I. General information

NPI: 1952026395
Provider Name (Legal Business Name): MEDLINK MEDICAL TRANSPORTATION AND AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E LOOCKERMAN ST STE 316
DOVER DE
19901-8305
US

IV. Provider business mailing address

409 PORTER AVE
SCOTTDALE PA
15683-1141
US

V. Phone/Fax

Practice location:
  • Phone: 302-364-3386
  • Fax: 302-364-3337
Mailing address:
  • Phone: 724-887-6822
  • Fax: 724-887-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: LYDIA FINGWE MAMBO
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 240-595-5518