Provider Demographics
NPI:1962955187
Name:9 LINE MEDICAL SOLUTIONS,
Entity type:Organization
Organization Name:9 LINE MEDICAL SOLUTIONS,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-205-8330
Mailing Address - Street 1:PO BOX 29106
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68529-0106
Mailing Address - Country:US
Mailing Address - Phone:866-205-8330
Mailing Address - Fax:866-205-8332
Practice Address - Street 1:3416 VINTON ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-3936
Practice Address - Country:US
Practice Address - Phone:866-205-8330
Practice Address - Fax:866-205-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS123453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport