Provider Demographics
NPI:1619763844
Name:CENTERLINK LOGISTICS LLC
Entity type:Organization
Organization Name:CENTERLINK LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIYOMUGABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-242-2142
Mailing Address - Street 1:705 VANDIVER DR STE K
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-3706
Mailing Address - Country:US
Mailing Address - Phone:319-242-2142
Mailing Address - Fax:
Practice Address - Street 1:705 VANDIVER DR STE K
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3706
Practice Address - Country:US
Practice Address - Phone:319-242-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)