Provider Demographics
NPI:1770473399
Name:MEDLINK ACCESS TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:MEDLINK ACCESS TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAIMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-303-8164
Mailing Address - Street 1:5707 SHADOWFAIR LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-2535
Mailing Address - Country:US
Mailing Address - Phone:757-303-8164
Mailing Address - Fax:
Practice Address - Street 1:5707 SHADOWFAIR LN
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-2535
Practice Address - Country:US
Practice Address - Phone:757-303-8164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)