Healthcare Provider Details

I. General information

NPI: 1649109349
Provider Name (Legal Business Name): CARELINK MEDRIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CAMELOT CT # B
FAIRFIELD OH
45014-7499
US

IV. Provider business mailing address

4 CAMELOT CT # B6
FAIRFIELD OH
45014-7499
US

V. Phone/Fax

Practice location:
  • Phone: 240-603-5439
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: HANS TCHIENGA
Title or Position: CEO
Credential: PHARMD
Phone: 240-603-5439