MEDICARE: MED LINK AMERICA, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	3403-IR	LA
2	3336C0003X	Community/Retail Pharmacy	3403-IR	LA

General Provider Information

NPI Number	:	1356488803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED LINK AMERICA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 58079
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70158-8079
Country	:	US
Telephone Number	:	504-832-4959
Fax Number	:	800-659-8283

Provider Business Practice Location Address
First Line	:	2318 E PASS RD STE F
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-3805
Country	:	US
Telephone Number	:	800-669-0456
Fax Number	:	800-659-8283

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	MR. GEORGE H. MASSEY JR.
Credential	:
Telephone Number	:	504-832-4959

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	06/23/2008

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