Healthcare Provider Details

I. General information

NPI: 1164336913
Provider Name (Legal Business Name): MEDLYNK TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 GALLANT FOX DR
MIDLOTHIAN VA
23112-6438
US

IV. Provider business mailing address

13830 GALLANT FOX DR
MIDLOTHIAN VA
23112-6438
US

V. Phone/Fax

Practice location:
  • Phone: 804-389-9949
  • Fax:
Mailing address:
  • Phone: 804-389-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: SELAMAWIT B HAYLE
Title or Position: OWNER
Credential:
Phone: 804-389-9949