Provider Demographics
NPI:1578983516
Name:CAMERON TRANSPORT SERVICES
Entity Type:Organization
Organization Name:CAMERON TRANSPORT SERVICES
Other - Org Name:CAMERON TRANSPORT,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-351-1236
Mailing Address - Street 1:1208 BUSH RIVER RD APT N7
Mailing Address - Street 2:1208 BUSH RIVER RD. UNIT N-7
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-7568
Mailing Address - Country:US
Mailing Address - Phone:803-351-1236
Mailing Address - Fax:
Practice Address - Street 1:1208 BUSH RIVER RD APT N7
Practice Address - Street 2:1208 BUSH RIVER RD. UNIT N-7
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7568
Practice Address - Country:US
Practice Address - Phone:803-351-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMERON TRANSPORT,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC08703460251V00000X, 343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251V00000XAgenciesVoluntary or Charitable
No343800000XTransportation ServicesSecured Medical Transport (VAN)