MEDICARE: AIRLINK HOMECARE LLC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	E	MI

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	540C912210	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1003810573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIRLINK HOMECARE LLC

Provider Business Mailing Address
First Line	:	1532 GULL RD
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49048-1621
Country	:	US
Telephone Number	:	269-382-3715
Fax Number	:	269-382-4815

Provider Business Practice Location Address
First Line	:	1532 GULL RD
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49048-1621
Country	:	US
Telephone Number	:	269-382-3715
Fax Number	:	269-382-4815

Authorized Official
Title or Position	:	DIRECTOR OF OPERATION
Name	:	MR. MICHAEL JAMES MOSIER
Credential	:
Telephone Number	:	269-382-3715

Provider Enumeration Date	:	06/12/2005
Last Update Date	:	11/23/2022

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Directions to “AIRLINK HOMECARE LLC ” Practice Location

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