Healthcare Provider Details

I. General information

NPI: 1669657375
Provider Name (Legal Business Name): LINK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E 13TH ST
HAYS KS
67601
US

IV. Provider business mailing address

2401 E 13TH ST
HAYS KS
67601-2663
US

V. Phone/Fax

Practice location:
  • Phone: 785-625-6942
  • Fax: 785-625-6137
Mailing address:
  • Phone: 785-625-6942
  • Fax: 785-625-6137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100014660D
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer

VIII. Authorized Official

Name: ANGIE M ZIMMERMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 785-625-6942