MEDICARE: VITAL LINK SERVICES, 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1316898810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL LINK SERVICES, LLC

Provider Business Mailing Address
First Line	:	2929 WATSON BLVD STE 2
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-9601
Country	:	US
Telephone Number	:	478-221-7198
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 LEGACY CT.
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088
Country	:	US
Telephone Number	:	478-221-7198
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. PETERSON MIRVILLE
Credential	:
Telephone Number	:	706-220-0819

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “VITAL LINK SERVICES, LLC ” Practice Location

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