MEDICARE: TINDLEY ACCLERATED SCHOOLS

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	251300000X	Local Education Agency (LEA)	9430	IN

General Provider Information

NPI Number	:	1033587050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINDLEY ACCLERATED SCHOOLS

Provider Business Mailing Address
First Line	:	3960 MEADOWS DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-3114
Country	:	US
Telephone Number	:	317-545-1745
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 N FRANKLIN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-5297
Country	:	US
Telephone Number	:	317-545-1745
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCUS ROBINSON
Credential	:
Telephone Number	:	317-545-1745

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	09/08/2015

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