Provider Demographics
NPI:1992701981
Name:VITAL LINK, INC.
Entity type:Organization
Organization Name:VITAL LINK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-793-3351
Mailing Address - Street 1:1033 EMS DR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7674
Mailing Address - Country:US
Mailing Address - Phone:870-793-3351
Mailing Address - Fax:870-793-3159
Practice Address - Street 1:1033 EMS DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7674
Practice Address - Country:US
Practice Address - Phone:870-793-3351
Practice Address - Fax:870-793-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2013-03-20
Deactivation Date:2010-03-17
Deactivation Code:
Reactivation Date:2010-03-31
Provider Licenses
StateLicense IDTaxonomies
AR0266341600000X
AR210341600000X
AR250341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR102780715Medicaid
AR590001956OtherRAILROAD MEDICARE
AR102780715Medicaid