Camelot Transportation Inc
Organization Active NPI Contractor · Kearney, NE
NPI 1639734189 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1639734189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- Legal business name
- CAMELOT TRANSPORTATION INC
- Practice address
- 1220 Central Ave Ste 3
Kearney, NE 68847-6811 - Phone
- (308) 455-1074
- NPI assigned
- May 9, 2019
- Organization subpart
- No
Authorized official
- Name
- Alissa Kern
- Title
- MD
- Phone
- (308) 293-0231
National Provider Directory
Locations
1220 Central Ave
Ste 3
Kearney, NE 68847
Phone (308) 455-1074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
1220 Central Ave Ste 3
Kearney, NE 68847-6811
Mailing address
PO Box 1808
Kearney, NE 68848-1808
Phone (308) 455-1074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026145600 | Medicaid | NE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alissa@camelottransportation.net |
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.