Provider Demographics
NPI:1699712547
Name:COLUMBUS TRANSPORT INC
Entity type:Organization
Organization Name:COLUMBUS TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-654-4344
Mailing Address - Street 1:PO BOX 751
Mailing Address - Street 2:
Mailing Address - City:CHADBOURN
Mailing Address - State:NC
Mailing Address - Zip Code:28431-0751
Mailing Address - Country:US
Mailing Address - Phone:910-654-4344
Mailing Address - Fax:910-654-4903
Practice Address - Street 1:8718 PEACOCK RD
Practice Address - Street 2:
Practice Address - City:CHADBOURN
Practice Address - State:NC
Practice Address - Zip Code:28431-8442
Practice Address - Country:US
Practice Address - Phone:910-654-4344
Practice Address - Fax:910-654-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406829Medicaid
NC3406829Medicaid