Provider Demographics
NPI:1962178046
Name:HEALTH LINE COMMUTERS
Entity type:Organization
Organization Name:HEALTH LINE COMMUTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CHRISTOPHER BLAIR
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-994-7449
Mailing Address - Street 1:3712 TWIN PINES DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5364
Mailing Address - Country:US
Mailing Address - Phone:504-994-7449
Mailing Address - Fax:
Practice Address - Street 1:149 W OAKVILLE ST
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-7003
Practice Address - Country:US
Practice Address - Phone:504-994-7449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)