MEDICARE: MED-LINK TRANSPORTATION 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1689833782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED-LINK TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	7987 W MONTEBELLO AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4530
Country	:	US
Telephone Number	:	623-877-7433
Fax Number	:	623-877-4503

Provider Business Practice Location Address
First Line	:	7987 W MONTEBELLO AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4530
Country	:	US
Telephone Number	:	623-877-7433
Fax Number	:	623-877-4503

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL M SCHOUWEILER
Credential	:
Telephone Number	:	623-877-7433

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	06/03/2008

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Directions to “MED-LINK TRANSPORTATION INC ” Practice Location

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