MEDICARE: T.C.S LLC A LCP TRANSPORTATION COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063865137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T.C.S LLC A LCP TRANSPORTATION COMPANY

Provider Business Mailing Address
First Line	:	4308 GUION RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3142
Country	:	US
Telephone Number	:	317-522-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4308 GUION RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3142
Country	:	US
Telephone Number	:	317-522-0600
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. RONALD ROBINSON
Credential	:
Telephone Number	:	317-291-9318

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	07/13/2016

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