Provider Demographics
| NPI: | 1063865137 |
|---|---|
| Name: | T.C.S LLC A LCP TRANSPORTATION COMPANY |
| Entity type: | Organization |
| Organization Name: | T.C.S LLC A LCP TRANSPORTATION COMPANY |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | RONALD |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ROBINSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 317-291-9318 |
| Mailing Address - Street 1: | 4308 GUION RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | INDIANAPOLIS |
| Mailing Address - State: | IN |
| Mailing Address - Zip Code: | 46254-3142 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 317-522-0600 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4308 GUION RD |
| Practice Address - Street 2: | |
| Practice Address - City: | INDIANAPOLIS |
| Practice Address - State: | IN |
| Practice Address - Zip Code: | 46254-3142 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 317-522-0600 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-07-13 |
| Last Update Date: | 2016-07-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IN | 201325160A | Medicaid |