Provider Demographics
NPI:1942837331
Name:TRANSIT CONSORTIUM OF SOUTH CAROLINA, LLC
Entity Type:Organization
Organization Name:TRANSIT CONSORTIUM OF SOUTH CAROLINA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-636-0024
Mailing Address - Street 1:701 GERVAIS STREET
Mailing Address - Street 2:SUITE 150 #298
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201
Mailing Address - Country:US
Mailing Address - Phone:803-636-0024
Mailing Address - Fax:
Practice Address - Street 1:5025 ROUNDSTONE WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216
Practice Address - Country:US
Practice Address - Phone:803-636-0024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)