Buckeye Link Ambulance LLC
Organization Active NPI Ambulance · Sunbury, OH
NPI 1629435722 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1629435722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- BUCKEYE LINK AMBULANCE LLC
- Practice address
- 1260 Green Cook Rd
Sunbury, OH 43074-8952 - Phone
- (614) 917-9188
- NPI assigned
- Jan 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Alexandra Emily Brinkman
- Title
- Owner
- Phone
- (419) 290-6865
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160510000916 | OH | Part B Supplier - Ambulance Service Supplier | 3577852805 | Practice locations: Sunbury, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
1260 Green Cook Rd
Sunbury, OH 43074-8952
Mailing address
1260 Green Cook Rd
Sunbury, OH 43074-8952
Other providers in Sunbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.