Provider Demographics
NPI:1770369357
Name:CAUGHRON TRANSPORT SERVICE
Entity type:Organization
Organization Name:CAUGHRON TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DELANO
Authorized Official - Last Name:CAUGHRON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:888-233-4760
Mailing Address - Street 1:6527 CANNON RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-1429
Mailing Address - Country:US
Mailing Address - Phone:888-233-4760
Mailing Address - Fax:
Practice Address - Street 1:6527 CANNON RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-1429
Practice Address - Country:US
Practice Address - Phone:888-233-4760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport