Provider Demographics
NPI:1689131278
Name:CAM LOGISTICS
Entity Type:Organization
Organization Name:CAM LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:LACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-410-0950
Mailing Address - Street 1:34 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:BUCKATUNNA
Mailing Address - State:MS
Mailing Address - Zip Code:39322-9707
Mailing Address - Country:US
Mailing Address - Phone:601-410-0950
Mailing Address - Fax:
Practice Address - Street 1:34 LACEY RD
Practice Address - Street 2:
Practice Address - City:BUCKATUNNA
Practice Address - State:MS
Practice Address - Zip Code:39322-9707
Practice Address - Country:US
Practice Address - Phone:601-410-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)