Organization Active NPI

Vital Link, Inc.

  • Ambulance
  • Batesville, AR
National Provider Identifier
1992701981
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
250 Issued in AR
Legal business name
VITAL LINK, INC.
Practice address
1033 EMS Dr
Batesville, AR 72501-7674
Phone
(870) 793-3351
Fax
(870) 793-3159
NPI assigned
Jun 23, 2005
Reactivated
Mar 31, 2010
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen Ryan
Title
Chief Executive Officer
Phone
(870) 793-3351

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0266 AR
Ambulance 341600000X 210 AR
Ambulance 341600000X 250 AR Primary

Addresses

Primary practice location

1033 EMS Dr
Batesville, AR 72501-7674

Mailing address

1033 EMS Dr
Batesville, AR 72501-7674
Phone (870) 793-3351

Other identifiers 2

IdentifierTypeStateIssuer
590001956OtherARRAILROAD MEDICARE
102780715MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001377 AR Part B Supplier - Ambulance Service Supplier 4688654999 Practice locations: Batesville, AR; Mountain View, AR; Melbourne, AR; Horseshoe Bend, AR; Calico Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2197968Vital Link EMS1033 EMS Drive, Batesville, AR 72501Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

1033 Ems Dr
Batesville, AR 72501
Phone (870) 793-3159

274 Highway 65 S
#B
Clinton, AR 72031
Phone (501) 745-3159

54 Tate Springs Rd
#B
Melbourne, AR 72556
Phone (870) 793-3351

105 Highway 5
Mountain View, AR 72560
Phone (870) 793-3351

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1992701981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 EMS DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017674",
            "telephone_number": "870-793-3351",
            "fax_number": "870-793-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 EMS DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017674",
            "telephone_number": "870-793-3351",
            "fax_number": "870-793-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-03-20",
        "deactivation_date": "2010-03-17",
        "reactivation_date": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-793-3351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "0266",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "210",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001956",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102780715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.