National Provider Identifier Database

MEDLINE 1 LLC
Transportation Broker

An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.


Contact Information

MEDLINE 1 LLC
4440 LIVERPOOL LN
SOUTHAVEN, MS38671-7512
Phone: 901-268-8899
Fax:
Website:
Specialty Taxonomy Code
* Transportation Broker 347E00000X

* Indicates primary specialty

NPI Profile & details for MEDLINE 1 LLC

NPI Number 1306324686
Legal business name
LBN
MEDLINE 1 LLC
Authorized official JUANITA LUNDY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/30/2018
Last updated 07/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 837X0

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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